Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $211.34 / $273.91	Facility		$211.34	$211.34	$273.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $211.34 / $449.04	Professional		$180.00	$211.34	$449.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $211.47 / $248.63	Professional		$211.47	$211.47	$248.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $453.00 / $647.54	Facility		$232.20	$453.00	$647.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $195.83 / $237.66	Professional		$190.13	$195.83	$237.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $248.63 / $248.63	Facility		$211.34	$248.63	$248.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $248.63 / $417.00	Facility		$211.34	$248.63	$417.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $234.27 / $331.71	Professional		$207.32	$234.27	$331.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $480.36	Professional		$55.00	$65.00	$480.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $248.63 / $248.63	Facility		$211.34	$248.63	$248.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $855.60 / $855.60 / $855.60	Facility		$855.60	$855.60	$855.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.47 / $123.47 / $123.47	Professional		$123.47	$123.47	$123.47
United Facility/Professional Facility Modifier Low / Median / High Price $534.54 / $534.54 / $581.79	Facility		$534.54	$534.54	$581.79
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $234.27 / $340.00	Professional		$207.32	$234.27	$340.00