Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $143.04 / $318.98	Facility		$143.04	$143.04	$318.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $143.04 / $178.80	Professional		$143.04	$143.04	$178.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $118.62 / $151.97	Professional		$118.62	$118.62	$151.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $161.13 / $254.77	Facility		$139.27	$161.13	$254.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $161.13 / $195.56	Professional		$151.97	$161.13	$195.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $178.80 / $178.80	Facility		$143.04	$178.80	$178.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $178.80 / $178.80	Facility		$143.04	$178.80	$178.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $312.72	Professional		$50.00	$65.00	$312.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $178.80 / $178.80	Facility		$143.04	$178.80	$178.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $670.50	Facility		$151.97	$151.97	$670.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $38.89 / $71.09	Professional		$38.89	$38.89	$71.09