Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $241.74 / $453.93	Facility		$241.74	$241.74	$453.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $256.00 / $562.04	Professional		$208.00	$256.00	$562.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $241.87 / $284.39	Professional		$241.87	$241.87	$284.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $533.41 / $762.49	Facility		$265.58	$533.41	$762.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.88 / $230.59 / $279.83	Professional		$223.88	$230.59	$279.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $284.39 / $284.39	Facility		$241.74	$284.39	$284.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.59 / $386.68 / $509.87	Facility		$218.59	$386.68	$509.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $267.95 / $379.41	Professional		$237.13	$267.95	$379.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $556.52	Professional		$55.00	$65.00	$556.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $284.39 / $284.39	Facility		$241.74	$284.39	$284.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,006.31 / $1,006.31 / $1,006.31	Facility		$1,006.31	$1,006.31	$1,006.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Professional		$125.77	$125.77	$125.77
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $267.95 / $379.41	Professional		$237.13	$267.95	$379.41