Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $133.32 / $133.32	Facility		$133.32	$133.32	$133.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $140.97 / $198.40	Professional		$133.32	$140.97	$198.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.34 / $258.45 / $638.92	Professional		$141.34	$258.45	$638.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $163.40 / $163.40	Professional		$163.40	$163.40	$163.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $161.96 / $277.11	Facility		$133.32	$161.96	$277.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $59.45 / $59.45	Professional		$59.45	$59.45	$59.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $161.69 / $277.11	Facility		$133.32	$161.69	$277.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,053.42 / $1,053.42 / $1,053.42	Professional		$1,053.42	$1,053.42	$1,053.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $529.62	Professional		$50.00	$58.40	$529.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $161.96 / $277.11	Facility		$133.32	$161.96	$277.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $59.45 / $59.45	Professional		$59.45	$59.45	$59.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $415.70 / $579.70	Professional		$284.58	$415.70	$579.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $939.13 / $939.13 / $939.13	Facility		$939.13	$939.13	$939.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $719.91 / $743.00 / $1,053.42	Professional		$719.91	$743.00	$1,053.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $204.17 / $226.85	Professional		$192.82	$204.17	$226.85