Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.80 / $371.05 / $14,482.00	Facility		$106.80	$371.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $205.08 / $370.11	Professional		$102.05	$205.08	$370.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $284.08 / $720.29	Professional		$119.96	$284.08	$720.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $727.64 / $967.10	Facility		$622.66	$727.64	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $282.20 / $662.19	Professional		$121.21	$282.20	$662.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.05 / $197.96 / $364.10	Facility		$102.05	$197.96	$364.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.05 / $198.95 / $421.98	Facility		$102.05	$198.95	$421.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $561.95 / $1,374.61	Professional		$254.00	$561.95	$1,374.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.67 / $222.38 / $480.18	Professional		$133.67	$222.38	$480.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.05 / $198.95 / $393.97	Facility		$102.05	$198.95	$393.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.49 / $420.88 / $750.77	Professional		$226.49	$420.88	$750.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $236.45 / $449.61 / $714.17	Facility		$236.45	$449.61	$714.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.62 / $850.48 / $1,374.61	Professional		$198.62	$850.48	$1,374.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.42 / $508.00 / $1,176.96	Professional		$251.42	$508.00	$1,176.96
United Facility/Professional Professional Modifier Low / Median / High Price $250.09 / $440.28 / $792.23	Professional		$250.09	$440.28	$792.23