Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $297.89 / $297.89	Facility		$297.89	$297.89	$297.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $212.33 / $297.89	Professional		$140.00	$212.33	$297.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $312.18 / $954.22	Professional		$173.50	$312.18	$954.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.36 / $528.62 / $702.58	Facility		$452.36	$528.62	$702.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $231.84 / $320.63	Professional		$182.29	$231.84	$320.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $188.08 / $446.85	Facility		$63.99	$188.08	$446.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $20.58 / $20.58	Professional		$20.58	$20.58	$20.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $204.13 / $498.71	Facility		$113.09	$204.13	$498.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $316.63 / $1,215.19	Professional		$183.21	$316.63	$1,215.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $65.00 / $341.66	Professional		$10.52	$65.00	$341.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $188.08 / $446.85	Facility		$63.99	$188.08	$446.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $20.58 / $20.58	Professional		$20.58	$20.58	$20.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.95 / $522.97 / $752.90	Professional		$284.95	$522.97	$752.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $422.42 / $422.42 / $1,173.52	Facility		$422.42	$422.42	$1,173.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $950.45 / $1,215.19	Professional		$182.29	$950.45	$1,215.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $579.90 / $641.85 / $641.85	Professional		$579.90	$641.85	$641.85
United Facility/Professional Professional Modifier Low / Median / High Price $190.32 / $309.64 / $509.78	Professional		$190.32	$309.64	$509.78