Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $230.89	Facility		$103.54	$103.54	$230.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $129.41	Professional		$103.54	$103.54	$129.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $163.44 / $354.75	Professional		$103.21	$163.44	$354.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $277.55 / $393.38	Facility		$151.71	$277.55	$393.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $168.94 / $191.98	Professional		$118.97	$168.94	$191.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $112.93 / $216.70	Facility		$100.68	$112.93	$216.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $112.93 / $216.70	Facility		$100.68	$112.93	$216.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $168.25	Professional		$129.41	$129.41	$168.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $360.46	Professional		$50.00	$65.00	$360.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $112.93 / $216.70	Facility		$100.68	$112.93	$216.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $234.48 / $328.87	Professional		$164.16	$234.48	$328.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,450.15 / $3,450.15 / $3,450.15	Facility		$3,450.15	$3,450.15	$3,450.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $232.73 / $336.29	Professional		$183.93	$232.73	$336.29
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $177.20	Professional		$129.41	$129.41	$177.20