Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.90 / $129.90 / $129.90	Facility		$129.90	$129.90	$129.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $129.90 / $151.30	Professional		$92.49	$129.90	$151.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $133.11 / $466.19	Professional		$113.14	$133.11	$466.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $384.00 / $459.50	Facility		$65.00	$384.00	$459.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $267.81 / $494.33	Professional		$108.21	$267.81	$494.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $144.63 / $299.52	Facility		$97.37	$144.63	$299.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $170.40 / $755.40	Facility		$101.12	$170.40	$755.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $157.24 / $1,071.54	Professional		$127.25	$157.24	$1,071.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $235.95	Professional		$50.00	$65.00	$235.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.43 / $140.41 / $299.52	Facility		$93.43	$140.41	$299.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $384.88 / $539.82	Professional		$215.42	$384.88	$539.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $332.10 / $755.40	Facility		$65.00	$332.10	$755.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $786.20 / $1,071.54	Professional		$173.17	$786.20	$1,071.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $394.74 / $394.74 / $394.74	Professional		$394.74	$394.74	$394.74
United Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $157.24 / $349.40	Professional		$128.83	$157.24	$349.40