Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $300.77	Facility		$134.88	$134.88	$300.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $168.60	Professional		$134.88	$134.88	$168.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $143.31	Professional		$140.50	$140.50	$143.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $168.60 / $168.60	Facility		$134.88	$168.60	$168.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $168.60 / $168.60	Facility		$134.88	$168.60	$168.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $182.65	Professional		$140.50	$140.50	$182.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $510.02	Professional		$50.00	$65.00	$510.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $168.60 / $168.60	Facility		$134.88	$168.60	$168.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $632.25 / $632.25 / $632.25	Facility		$632.25	$632.25	$632.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $99.45 / $181.83	Professional		$99.45	$99.45	$181.83
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $182.65	Professional		$140.50	$140.50	$182.65