Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.74 / $200.00 / $200.00	Facility		$62.74	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $95.74 / $301.17	Professional		$62.74	$95.74	$301.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $506.90 / $1,822.42	Professional		$144.88	$506.90	$1,822.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $173.55	Facility		$111.74	$130.58	$173.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $146.81 / $166.83	Professional		$50.09	$146.81	$166.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $73.41 / $325.30	Facility		$48.07	$73.41	$325.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $87.46 / $408.26	Facility		$48.07	$87.46	$408.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $128.22 / $1,345.11	Professional		$47.92	$128.22	$1,345.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $74.59 / $325.30	Facility		$48.07	$74.59	$325.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.86 / $300.89 / $666.02	Professional		$166.86	$300.89	$666.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.70 / $467.77 / $467.77	Facility		$245.70	$467.77	$467.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $1,345.11 / $1,345.11	Professional		$163.13	$1,345.11	$1,345.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $105.81 / $105.81	Professional		$105.81	$105.81	$105.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.92 / $265.92 / $265.92	Professional		$265.92	$265.92	$265.92
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $119.79 / $442.98	Professional		$47.92	$119.79	$442.98