Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $99.65 / $99.65	Facility		$99.65	$99.65	$99.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $103.06 / $125.45	Professional		$94.08	$103.06	$125.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.67 / $344.34 / $457.66	Facility		$294.67	$344.34	$457.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $155.72 / $211.55	Professional		$104.45	$155.72	$211.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.51 / $111.44 / $205.03	Facility		$94.51	$111.44	$205.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $118.30 / $212.36	Facility		$92.75	$118.30	$212.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $217.32 / $741.56	Professional		$127.88	$217.32	$741.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $97.03 / $206.20	Professional		$60.64	$97.03	$206.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.51 / $112.45 / $212.36	Facility		$94.51	$112.45	$212.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $276.87 / $379.71	Professional		$176.76	$276.87	$379.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $218.32 / $593.79	Facility		$138.66	$218.32	$593.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $588.29 / $741.56	Professional		$104.45	$588.29	$741.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $138.63	Professional		$138.63	$138.63	$138.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $236.75 / $236.75	Professional		$195.75	$236.75	$236.75
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $211.25 / $317.99	Professional		$124.51	$211.25	$317.99