Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $228.69 / $322.39	Facility		$200.00	$228.69	$322.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $163.22 / $305.87	Professional		$132.18	$163.22	$305.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $341.84 / $931.69	Professional		$147.54	$341.84	$931.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.32 / $486.50 / $646.60	Facility		$416.32	$486.50	$646.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $538.37 / $611.79	Professional		$211.57	$538.37	$611.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $228.69 / $552.86	Facility		$133.38	$228.69	$552.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $231.00 / $734.40	Facility		$133.38	$231.00	$734.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.67 / $494.68 / $3,095.91	Professional		$189.67	$494.68	$3,095.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $123.56 / $283.76	Professional		$57.31	$123.56	$283.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $228.69 / $552.86	Facility		$133.38	$228.69	$552.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $450.87 / $1,294.34	Professional		$300.95	$450.87	$1,294.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $2,025.75 / $2,025.75	Facility		$702.00	$2,025.75	$2,025.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.02 / $1,686.11 / $3,095.91	Professional		$256.02	$1,686.11	$3,095.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $391.05 / $391.05 / $391.05	Professional		$391.05	$391.05	$391.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $940.42 / $959.36	Professional		$318.52	$940.42	$959.36
United Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $410.96 / $1,033.54	Professional		$176.16	$410.96	$1,033.54