Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $251.05 / $258.10	Facility		$200.00	$251.05	$258.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $189.38 / $397.83	Professional		$145.63	$189.38	$397.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $328.79 / $1,179.41	Professional		$161.97	$328.79	$1,179.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.19 / $455.96 / $699.46	Facility		$390.19	$455.96	$699.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $502.41 / $570.92	Professional		$189.30	$502.41	$570.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $234.97 / $409.74	Facility		$136.55	$234.97	$409.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.65 / $239.51 / $411.58	Facility		$137.65	$239.51	$411.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $429.25 / $1,279.19	Professional		$228.26	$429.25	$1,279.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $110.04 / $253.57	Professional		$38.69	$110.04	$253.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $234.37 / $409.74	Facility		$136.55	$234.37	$409.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $352.24 / $598.79	Professional		$189.11	$352.24	$598.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $341.30 / $763.83 / $763.83	Facility		$341.30	$763.83	$763.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.60 / $1,009.50 / $1,279.19	Professional		$211.60	$1,009.50	$1,279.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $513.47 / $513.47 / $513.47	Professional		$513.47	$513.47	$513.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $534.77 / $895.23 / $895.23	Professional		$534.77	$895.23	$895.23
United Facility/Professional Professional Modifier Low / Median / High Price $214.85 / $418.04 / $939.52	Professional		$214.85	$418.04	$939.52