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 / $288.14	Professional		$113.10	$135.31	$288.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $295.01 / $797.12	Professional		$125.12	$295.01	$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 $184.51 / $451.22 / $601.91	Professional		$184.51	$451.22	$601.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $193.93 / $552.86	Facility		$113.32	$193.93	$552.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $193.93 / $692.16	Facility		$113.32	$193.93	$692.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.05 / $434.55 / $3,555.00	Professional		$164.05	$434.55	$3,555.00
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 $113.32 / $193.93 / $552.86	Facility		$113.32	$193.93	$552.86
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 / $1,207.88 / $1,207.88	Facility		$702.00	$1,207.88	$1,207.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.57 / $1,695.18 / $3,555.00	Professional		$214.57	$1,695.18	$3,555.00
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 $284.94 / $804.03 / $804.03	Professional		$284.94	$804.03	$804.03
United Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $343.42 / $858.09	Professional		$152.63	$343.42	$858.09