Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $236.79	Facility		$200.00	$200.00	$236.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $165.68 / $236.79	Professional		$138.63	$165.68	$236.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $348.74 / $977.70	Professional		$152.77	$348.74	$977.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.57 / $537.04 / $713.78	Facility		$459.57	$537.04	$713.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $586.98 / $667.03	Professional		$186.43	$586.98	$667.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $193.28 / $314.60	Facility		$138.63	$193.28	$314.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $193.28 / $333.56	Facility		$138.63	$193.28	$333.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $401.62 / $1,031.22	Professional		$176.91	$401.62	$1,031.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $85.00 / $302.61	Professional		$51.23	$85.00	$302.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $192.00 / $314.60	Facility		$138.63	$192.00	$314.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $405.22 / $545.09	Professional		$312.00	$405.22	$545.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $373.48 / $726.62 / $726.62	Facility		$373.48	$726.62	$726.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.71 / $813.15 / $1,031.22	Professional		$254.71	$813.15	$1,031.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $429.12 / $429.12 / $429.12	Professional		$429.12	$429.12	$429.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $770.12 / $1,057.49 / $1,057.49	Professional		$770.12	$1,057.49	$1,057.49
United Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $336.13 / $666.52	Professional		$176.91	$336.13	$666.52