Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $264.30	Facility		$200.00	$200.00	$264.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $253.31 / $264.30	Professional		$181.17	$253.31	$264.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $384.60 / $1,102.89	Professional		$170.51	$384.60	$1,102.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.80 / $758.18 / $1,163.07	Facility		$648.80	$758.18	$1,163.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.64 / $909.16 / $1,033.14	Professional		$242.64	$909.16	$1,033.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $253.31 / $335.26	Facility		$93.60	$253.31	$335.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $253.31 / $457.57	Facility		$93.60	$253.31	$457.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $398.62 / $1,204.57	Professional		$184.64	$398.62	$1,204.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $662.08	Professional		$50.00	$70.00	$662.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $253.31 / $335.26	Facility		$93.60	$253.31	$335.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.55 / $465.59 / $575.75	Professional		$329.55	$465.59	$575.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,636.80 / $1,636.80 / $1,636.80	Facility		$1,636.80	$1,636.80	$1,636.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $933.85 / $1,204.57	Professional		$256.61	$933.85	$1,204.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.62 / $1,344.62 / $1,344.62	Professional		$1,344.62	$1,344.62	$1,344.62
United Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $384.60 / $880.99	Professional		$193.19	$384.60	$880.99