Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.80 / $358.80 / $358.80	Facility		$358.80	$358.80	$358.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $448.50	Professional		$358.80	$358.80	$448.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $381.23 / $390.00	Professional		$76.39	$381.23	$390.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $563.20 / $888.46	Facility		$381.23	$563.20	$888.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $345.10 / $381.23	Professional		$212.44	$345.10	$381.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $358.80 / $510.10	Facility		$75.84	$358.80	$510.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $76.00 / $213.68	Facility		$75.84	$76.00	$213.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $624.00	Professional		$390.00	$390.00	$624.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $65.00 / $178.07	Professional		$5.92	$65.00	$178.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $358.80 / $510.10	Facility		$75.84	$358.80	$510.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.38 / $878.72 / $1,225.40	Professional		$360.38	$878.72	$1,225.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $356.25 / $356.25	Facility		$356.25	$356.25	$356.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $381.23 / $677.52	Professional		$100.70	$381.23	$677.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $222.59 / $222.59	Professional		$222.59	$222.59	$222.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $296.98 / $689.13 / $689.13	Professional		$296.98	$689.13	$689.13
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $507.00	Professional		$390.00	$390.00	$507.00