Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $160.19 / $160.19	Facility		$160.19	$160.19	$160.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $160.19 / $192.86	Professional		$160.19	$160.19	$192.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $564.41 / $865.84	Facility		$483.00	$564.41	$865.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $299.56 / $340.41	Professional		$201.38	$299.56	$340.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $203.40 / $373.58	Facility		$166.74	$203.40	$373.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $203.40 / $373.58	Facility		$166.74	$203.40	$373.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $355.50 / $609.90	Professional		$224.40	$355.50	$609.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $158.88 / $335.90	Professional		$99.60	$158.88	$335.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $203.40 / $373.58	Facility		$166.74	$203.40	$373.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.98 / $427.30 / $599.32	Professional		$204.98	$427.30	$599.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $347.11 / $351.30 / $934.12	Facility		$347.11	$351.30	$934.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.95 / $333.95 / $333.95	Professional		$333.95	$333.95	$333.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $539.07 / $539.07 / $539.07	Professional		$539.07	$539.07	$539.07
United Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $378.68 / $652.21	Professional		$215.37	$378.68	$652.21