Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.64 / $205.65 / $366.51	Facility		$95.64	$205.65	$366.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $95.64 / $342.80	Professional		$83.03	$95.64	$342.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $266.44 / $697.90	Professional		$101.67	$266.44	$697.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.72 / $301.17 / $485.77	Facility		$257.72	$301.17	$485.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $310.27 / $410.89	Professional		$188.28	$310.27	$410.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.64 / $116.99 / $196.51	Facility		$95.64	$116.99	$196.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.54 / $2,553.00 / $7,700.00	Facility		$100.54	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $271.11 / $582.84	Professional		$109.35	$271.11	$582.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $206.29 / $246.81	Professional		$58.40	$206.29	$246.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.64 / $116.99 / $196.51	Facility		$95.64	$116.99	$196.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $301.11 / $433.08	Professional		$195.00	$301.11	$433.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $502.05 / $1,607.11	Professional		$193.10	$502.05	$1,607.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $438.56 / $438.56 / $438.56	Professional		$438.56	$438.56	$438.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $421.24 / $549.50 / $549.50	Professional		$421.24	$549.50	$549.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $276.19 / $496.25	Professional		$116.45	$276.19	$496.25