Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $422.17 / $482.41	Facility		$200.00	$422.17	$482.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.32 / $333.37 / $640.82	Professional		$213.32	$333.37	$640.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $484.81 / $1,588.84	Professional		$201.00	$484.81	$1,588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.19 / $647.61 / $860.73	Facility		$554.19	$647.61	$860.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $719.54 / $817.66	Professional		$269.58	$719.54	$817.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $375.26 / $482.41	Facility		$213.32	$375.26	$482.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $403.40 / $627.13	Facility		$213.32	$403.40	$627.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.87 / $587.47 / $1,349.26	Professional		$266.87	$587.47	$1,349.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $119.27 / $343.51	Professional		$60.14	$119.27	$343.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $393.02 / $482.41	Facility		$213.32	$393.02	$482.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $477.22 / $870.06	Professional		$271.75	$477.22	$870.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $488.80 / $2,520.96 / $2,520.96	Facility		$488.80	$2,520.96	$2,520.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.06 / $1,111.95 / $1,349.26	Professional		$303.06	$1,111.95	$1,349.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $546.10 / $546.10 / $546.10	Professional		$546.10	$546.10	$546.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.15 / $1,282.15 / $1,282.15	Professional		$1,282.15	$1,282.15	$1,282.15
United Facility/Professional Professional Modifier Low / Median / High Price $241.58 / $565.42 / $1,053.96	Professional		$241.58	$565.42	$1,053.96