Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.16 / $159.16 / $159.16	Facility		$159.16	$159.16	$159.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $174.93 / $688.44	Professional		$159.16	$174.93	$688.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $325.79 / $578.28	Professional		$198.73	$325.79	$578.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.11 / $573.90 / $880.38	Facility		$491.11	$573.90	$880.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $387.30 / $440.11	Professional		$216.75	$387.30	$440.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $205.12 / $393.04	Facility		$127.51	$205.12	$393.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $205.12 / $393.04	Facility		$127.51	$205.12	$393.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.68 / $249.75 / $513.38	Professional		$165.68	$249.75	$513.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $456.47	Professional		$65.00	$65.00	$456.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $205.12 / $393.04	Facility		$127.51	$205.12	$393.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.79 / $418.06 / $583.00	Professional		$227.79	$418.06	$583.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $938.08 / $938.08 / $938.08	Facility		$938.08	$938.08	$938.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $151.21 / $151.21	Professional		$151.21	$151.21	$151.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $151.21 / $151.21	Professional		$151.21	$151.21	$151.21
United Facility/Professional Professional Modifier Low / Median / High Price $165.68 / $235.54 / $518.40	Professional		$165.68	$235.54	$518.40