Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $327.43 / $327.43	Facility		$327.43	$327.43	$327.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $327.43 / $390.48	Professional		$327.43	$327.43	$390.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $32.00 / $49.50	Professional		$13.80	$32.00	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $310.31 / $310.31	Professional		$310.31	$310.31	$310.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $327.43 / $491.15	Facility		$327.43	$327.43	$491.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $327.43 / $491.15	Facility		$327.43	$327.43	$491.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $327.43 / $491.15	Facility		$327.43	$327.43	$491.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $374.40	Facility		$65.00	$100.00	$374.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $310.31 / $310.31	Professional		$310.31	$310.31	$310.31
Security Health Facility/Professional Facility Modifier Low / Median / High Price $633.69 / $633.69 / $633.69	Facility		$633.69	$633.69	$633.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $538.64 / $538.64 / $602.01	Professional		$538.64	$538.64	$602.01