Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $147.33 / $147.33	Facility		$147.33	$147.33	$147.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $159.44 / $191.25	Professional		$121.50	$159.44	$191.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $229.53 / $452.47	Professional		$155.09	$229.53	$452.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.92 / $490.71 / $752.76	Facility		$419.92	$490.71	$752.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $290.32 / $466.65	Professional		$141.06	$290.32	$466.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $168.94 / $227.65	Facility		$147.33	$168.94	$227.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $163.01 / $227.65	Facility		$147.13	$163.01	$227.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $318.74 / $1,105.55	Professional		$202.43	$318.74	$1,105.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $111.87 / $268.78	Professional		$79.39	$111.87	$268.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $168.94 / $227.65	Facility		$147.33	$168.94	$227.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $308.10 / $475.75	Professional		$170.50	$308.10	$475.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.83 / $305.00 / $788.47	Facility		$300.83	$305.00	$788.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $891.05 / $1,105.55	Professional		$141.06	$891.05	$1,105.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $210.31 / $210.31	Professional		$210.31	$210.31	$210.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $330.74 / $342.01	Professional		$258.14	$330.74	$342.01
United Facility/Professional Professional Modifier Low / Median / High Price $197.05 / $318.45 / $481.63	Professional		$197.05	$318.45	$481.63