Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.90 / $244.90 / $244.90	Facility		$244.90	$244.90	$244.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $244.90 / $306.12	Professional		$244.90	$244.90	$306.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.86 / $255.10 / $684.72	Professional		$212.86	$255.10	$684.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $260.20	Facility		$100.93	$117.94	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $472.35 / $536.76	Professional		$260.20	$472.35	$536.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $244.90 / $469.09	Facility		$62.93	$244.90	$469.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $244.90 / $469.09	Facility		$62.93	$244.90	$469.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $535.71	Professional		$255.10	$255.10	$535.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $917.19	Professional		$55.00	$85.00	$917.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $244.90 / $469.09	Facility		$62.93	$244.90	$469.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $618.58 / $910.75	Professional		$2.64	$618.58	$910.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,093.28 / $1,093.28 / $1,093.28	Facility		$1,093.28	$1,093.28	$1,093.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $324.49 / $1,107.84	Professional		$260.20	$324.49	$1,107.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.21 / $346.21 / $346.21	Professional		$346.21	$346.21	$346.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $461.92 / $1,071.86 / $1,071.86	Professional		$461.92	$1,071.86	$1,071.86
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $331.63	Professional		$255.10	$255.10	$331.63