Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $253.26 / $361.24	Facility		$200.00	$253.26	$361.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $253.26 / $494.87	Professional		$146.94	$253.26	$494.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $376.12 / $1,035.44	Professional		$163.38	$376.12	$1,035.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.58 / $547.58 / $727.77	Facility		$468.58	$547.58	$727.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $606.86 / $689.61	Professional		$236.63	$606.86	$689.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $253.26 / $562.30	Facility		$147.65	$253.26	$562.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $259.00 / $822.56	Facility		$147.65	$259.00	$822.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.98 / $534.62 / $3,139.84	Professional		$204.98	$534.62	$3,139.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $150.21 / $346.36	Professional		$57.31	$150.21	$346.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $253.26 / $562.30	Facility		$147.65	$253.26	$562.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.70 / $504.43 / $1,729.16	Professional		$336.70	$504.43	$1,729.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,025.75 / $2,025.75	Facility		$714.00	$2,025.75	$2,025.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $1,713.35 / $3,139.84	Professional		$288.58	$1,713.35	$3,139.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $434.61 / $434.61 / $434.61	Professional		$434.61	$434.61	$434.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $1,081.35 / $1,081.35	Professional		$356.90	$1,081.35	$1,081.35
United Facility/Professional Facility Modifier Low / Median / High Price $8,047.97 / $8,047.97 / $10,377.64	Facility		$8,047.97	$8,047.97	$10,377.64
United Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $443.52 / $978.31	Professional		$190.54	$443.52	$978.31