Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $158.96	Professional		$142.00	$142.00	$158.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $316.30 / $452.13	Facility		$148.50	$316.30	$452.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $136.72 / $165.94	Professional		$132.75	$136.72	$165.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $158.96 / $158.96	Facility		$141.25	$158.96	$158.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $158.96 / $158.96	Facility		$141.25	$158.96	$158.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $238.44	Professional		$158.96	$158.96	$238.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $278.31	Professional		$50.00	$65.00	$278.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $158.96 / $158.96	Facility		$141.25	$158.96	$158.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $230.49 / $230.49 / $230.49	Facility		$230.49	$230.49	$230.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $162.53 / $162.53	Professional		$101.59	$162.53	$162.53
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $274.23	Professional		$158.96	$158.96	$274.23