Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $749.81	Facility		$200.00	$200.00	$749.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.36 / $534.42 / $749.81	Professional		$361.36	$534.42	$749.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $190.59 / $420.63	Professional		$65.51	$190.59	$420.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $248.52 / $330.30	Facility		$212.66	$248.52	$330.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $271.67 / $308.70	Professional		$82.75	$271.67	$308.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $145.83 / $749.81	Facility		$71.70	$145.83	$749.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $158.63 / $846.11	Facility		$73.33	$158.63	$846.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $846.11 / $1,746.38	Professional		$135.18	$846.11	$1,746.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.14 / $144.13	Professional		$32.34	$65.14	$144.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $147.56 / $749.81	Facility		$71.70	$147.56	$749.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $202.55 / $280.64	Professional		$135.19	$202.55	$280.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $846.11 / $846.11	Facility		$159.19	$846.11	$846.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $349.85 / $846.11	Professional		$109.44	$349.85	$846.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $198.23 / $198.23	Professional		$198.23	$198.23	$198.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $357.72 / $489.58 / $1,555.66	Professional		$357.72	$489.58	$1,555.66
United Facility/Professional Professional Modifier Low / Median / High Price $181.70 / $692.98 / $1,799.24	Professional		$181.70	$692.98	$1,799.24