Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.92 / $192.92 / $2,617.06	Facility		$192.92	$192.92	$2,617.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $189.33 / $206.99	Professional		$115.35	$189.33	$206.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.32 / $326.64 / $820.97	Professional		$163.32	$326.64	$820.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.02 / $489.66 / $751.15	Facility		$419.02	$489.66	$751.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.01 / $376.75 / $520.35	Professional		$236.01	$376.75	$520.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $192.92 / $304.29	Facility		$141.68	$192.92	$304.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $186.86 / $327.64	Facility		$123.48	$186.86	$327.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $440.08 / $1,125.58	Professional		$155.25	$440.08	$1,125.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $408.52	Professional		$58.40	$70.00	$408.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $192.92 / $304.29	Facility		$141.68	$192.92	$304.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.99 / $445.04 / $624.20	Professional		$247.99	$445.04	$624.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $873.48 / $873.48 / $873.48	Facility		$873.48	$873.48	$873.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.65 / $853.05 / $1,125.58	Professional		$254.65	$853.05	$1,125.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $161.38	Professional		$161.38	$161.38	$161.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $773.57 / $773.57	Professional		$161.38	$773.57	$773.57
United Facility/Professional Professional Modifier Low / Median / High Price $155.93 / $380.94 / $846.14	Professional		$155.93	$380.94	$846.14