Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $450.84 / $450.84	Facility		$130.60	$450.84	$450.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $129.76 / $187.56	Professional		$111.22	$129.76	$187.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $156.25 / $410.70	Professional		$116.61	$156.25	$410.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $369.61 / $567.00	Facility		$165.00	$369.61	$567.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.21 / $279.27 / $402.82	Professional		$126.21	$279.27	$402.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.16 / $144.06 / $281.08	Facility		$113.16	$144.06	$281.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.85 / $146.00 / $304.98	Facility		$112.85	$146.00	$304.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $213.67 / $1,165.68	Professional		$123.90	$213.67	$1,165.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $128.57 / $271.98	Professional		$79.65	$128.57	$271.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $112.85 / $144.06 / $288.66	Facility		$112.85	$144.06	$288.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $286.33 / $399.30	Professional		$196.02	$286.33	$399.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $243.97 / $1,564.67	Facility		$139.44	$243.97	$1,564.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $612.45 / $1,165.68	Professional		$140.19	$612.45	$1,165.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $366.81 / $424.20	Professional		$189.40	$366.81	$424.20
United Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $193.68 / $402.61	Professional		$121.87	$193.68	$402.61