Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $144.27 / $144.27	Facility		$144.27	$144.27	$144.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $147.50 / $174.58	Professional		$129.66	$147.50	$174.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $214.80 / $446.63	Professional		$152.79	$214.80	$446.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.39 / $645.51 / $990.22	Facility		$552.39	$645.51	$990.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $271.45 / $383.80	Professional		$188.67	$271.45	$383.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $169.39 / $261.06	Facility		$144.27	$169.39	$261.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $170.19 / $271.29	Facility		$144.27	$170.19	$271.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $327.62 / $1,193.31	Professional		$193.78	$327.62	$1,193.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $169.50 / $398.80	Professional		$116.87	$169.50	$398.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $170.19 / $261.06	Facility		$144.27	$170.19	$261.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $318.33 / $318.33 / $875.25	Facility		$318.33	$318.33	$875.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $891.18 / $1,193.31	Professional		$188.67	$891.18	$1,193.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $200.24 / $200.24	Professional		$200.24	$200.24	$200.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $345.21 / $345.21 / $429.50	Professional		$345.21	$345.21	$429.50
United Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $278.48 / $441.09	Professional		$187.63	$278.48	$441.09