Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $144.32	Professional		$125.50	$125.50	$144.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $168.75	Professional		$135.00	$135.00	$168.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $294.86 / $421.48	Facility		$137.94	$294.86	$421.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $159.86 / $181.66	Professional		$127.46	$159.86	$181.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $125.50 / $147.65	Facility		$95.47	$125.50	$147.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $125.50 / $147.65	Facility		$95.47	$125.50	$147.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $221.48	Professional		$147.65	$147.65	$221.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $337.92	Professional		$55.00	$65.00	$337.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $125.50 / $147.65	Facility		$95.47	$125.50	$147.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $203.54 / $278.02	Professional		$138.78	$203.54	$278.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $532.45 / $532.45 / $532.45	Facility		$532.45	$532.45	$532.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $166.81 / $166.81	Professional		$166.81	$166.81	$166.81
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $236.24	Professional		$147.65	$147.65	$236.24