Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.75 / $148.18 / $174.33	Facility		$130.75	$148.18	$174.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $187.40 / $263.20	Professional		$148.18	$187.40	$263.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.70 / $323.48 / $626.38	Professional		$193.70	$323.48	$626.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.16 / $499.27 / $567.35	Professional		$230.16	$499.27	$567.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $203.97 / $261.50	Facility		$140.80	$203.97	$261.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.02 / $228.70 / $906.80	Facility		$145.02	$228.70	$906.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $311.52 / $558.65	Professional		$192.34	$311.52	$558.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $191.29	Professional		$50.00	$85.00	$191.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $203.97 / $261.50	Facility		$140.80	$203.97	$261.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.47 / $474.41 / $601.22	Professional		$320.47	$474.41	$601.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $383.60 / $383.60 / $906.80	Facility		$383.60	$383.60	$906.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.16 / $230.16 / $230.16	Professional		$230.16	$230.16	$230.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.85 / $415.98 / $415.98	Professional		$295.85	$415.98	$415.98
United Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $350.42 / $583.57	Professional		$185.76	$350.42	$583.57