Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $216.79 / $303.41	Facility		$200.00	$216.79	$303.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $216.79 / $431.26	Professional		$127.46	$216.79	$431.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $325.51 / $899.22	Professional		$139.86	$325.51	$899.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.89 / $459.12 / $610.21	Facility		$392.89	$459.12	$610.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.50 / $512.28 / $621.29	Professional		$206.50	$512.28	$621.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.46 / $216.79 / $572.16	Facility		$127.46	$216.79	$572.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.46 / $241.70 / $767.21	Facility		$127.46	$241.70	$767.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $482.82 / $3,960.00	Professional		$180.74	$482.82	$3,960.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $102.71 / $250.42	Professional		$38.20	$102.71	$250.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.46 / $216.79 / $572.16	Facility		$127.46	$216.79	$572.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $430.42 / $984.86	Professional		$287.30	$430.42	$984.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $1,343.57 / $1,343.57	Facility		$727.00	$1,343.57	$1,343.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $1,742.85 / $3,960.00	Professional		$243.60	$1,742.85	$3,960.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $377.42 / $377.42 / $377.42	Professional		$377.42	$377.42	$377.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $912.83 / $912.83	Professional		$299.77	$912.83	$912.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,411.34 / $4,411.34 / $4,411.34	Facility		$4,411.34	$4,411.34	$4,411.34
United Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $391.61 / $871.09	Professional		$169.26	$391.61	$871.09