Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $335.77 / $2,172.38	Facility		$200.00	$335.77	$2,172.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $172.45 / $322.56	Professional		$135.07	$172.45	$322.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $331.06 / $980.01	Professional		$148.93	$331.06	$980.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.42 / $485.45 / $645.20	Facility		$415.42	$485.45	$645.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $537.75 / $611.08	Professional		$227.81	$537.75	$611.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.07 / $230.84 / $519.04	Facility		$135.07	$230.84	$519.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.07 / $230.84 / $692.87	Facility		$135.07	$230.84	$692.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $471.43 / $3,097.70	Professional		$196.30	$471.43	$3,097.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $130.87 / $309.23	Professional		$56.22	$130.87	$309.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.07 / $230.84 / $519.04	Facility		$135.07	$230.84	$519.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $479.11 / $873.80	Professional		$319.80	$479.11	$873.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,305.49 / $1,305.49	Facility		$702.00	$1,305.49	$1,305.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $255.71 / $1,687.24 / $3,097.70	Professional		$255.71	$1,687.24	$3,097.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $411.35 / $411.35 / $411.35	Professional		$411.35	$411.35	$411.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $958.23 / $958.23	Professional		$290.39	$958.23	$958.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,826.36 / $1,826.36 / $1,826.36	Facility		$1,826.36	$1,826.36	$1,826.36
United Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $408.51 / $931.45	Professional		$186.14	$408.51	$931.45