Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Facility		$152.00	$152.00	$152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $161.50	Professional		$152.00	$152.00	$161.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $205.91 / $342.74	Professional		$123.30	$205.91	$342.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $285.29 / $404.36	Facility		$155.94	$285.29	$404.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $161.50 / $239.00	Professional		$122.29	$161.50	$239.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $152.00 / $212.80	Facility		$65.92	$152.00	$212.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $152.00 / $226.48	Facility		$65.92	$152.00	$226.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $351.77	Professional		$167.51	$167.51	$351.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $152.00 / $212.80	Facility		$65.92	$152.00	$212.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $262.16 / $288.38 / $288.89	Professional		$262.16	$288.38	$288.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $180.50 / $712.50	Facility		$161.50	$180.50	$712.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $201.40 / $722.00	Professional		$161.50	$201.40	$722.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $211.06	Professional		$167.51	$167.51	$211.06