Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $216.92	Professional		$216.91	$216.92	$216.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $187.08 / $271.22	Professional		$187.08	$187.08	$271.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $507.51 / $725.45	Facility		$238.19	$507.51	$725.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $255.44 / $290.27	Professional		$219.39	$255.44	$290.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $232.47 / $292.98	Facility		$152.68	$232.47	$292.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $232.47 / $292.98	Facility		$152.68	$232.47	$292.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $247.53 / $350.48	Professional		$219.05	$247.53	$350.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $718.05	Professional		$55.00	$85.00	$718.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $232.47 / $292.98	Facility		$152.68	$232.47	$292.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $325.51 / $444.62	Professional		$221.94	$325.51	$444.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $622.16 / $622.16 / $622.16	Facility		$622.16	$622.16	$622.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $243.80 / $292.95	Professional		$231.53	$243.80	$292.95
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $247.53 / $350.48	Professional		$219.05	$247.53	$350.48