Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.93 / $200.00 / $267.83	Facility		$193.93	$200.00	$267.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $135.31 / $262.55	Professional		$113.10	$135.31	$262.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $294.44 / $797.12	Professional		$125.12	$294.44	$797.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.83 / $406.47 / $540.23	Facility		$347.83	$406.47	$540.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.52 / $451.22 / $603.23	Professional		$178.52	$451.22	$603.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $193.93 / $396.89	Facility		$113.32	$193.93	$396.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $193.93 / $692.62	Facility		$113.32	$193.93	$692.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.05 / $433.53 / $3,100.39	Professional		$164.05	$433.53	$3,100.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $102.71 / $248.31	Professional		$38.20	$102.71	$248.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $193.93 / $396.89	Facility		$113.32	$193.93	$396.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $373.94 / $880.19	Professional		$249.60	$373.94	$880.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,305.93 / $1,305.93	Facility		$702.00	$1,305.93	$1,305.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.57 / $1,688.39 / $3,100.39	Professional		$214.57	$1,688.39	$3,100.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $334.58 / $334.58 / $334.58	Professional		$334.58	$334.58	$334.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $274.58 / $804.03 / $804.03	Professional		$274.58	$804.03	$804.03
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 $152.63 / $321.04 / $789.67	Professional		$152.63	$321.04	$789.67