Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $94.54 / $97.63	Professional		$94.54	$94.54	$97.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $202.60 / $533.49	Professional		$84.02	$202.60	$533.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $195.86 / $300.45	Facility		$167.61	$195.86	$300.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $438.48 / $498.28	Professional		$100.06	$438.48	$498.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $124.97 / $180.38	Facility		$82.76	$124.97	$180.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $124.97 / $1,479.13	Facility		$83.46	$124.97	$1,479.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $244.12 / $1,240.30	Professional		$108.10	$244.12	$1,240.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $85.00 / $330.58	Professional		$64.44	$85.00	$330.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.19 / $124.97 / $180.38	Facility		$79.19	$124.97	$180.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $209.03 / $300.93	Professional		$172.25	$209.03	$300.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $720.24 / $720.24 / $720.24	Facility		$720.24	$720.24	$720.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.66 / $730.93 / $1,240.30	Professional		$375.66	$730.93	$1,240.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.45 / $1,715.45 / $1,715.45	Professional		$1,715.45	$1,715.45	$1,715.45
United Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $214.24 / $424.91	Professional		$99.15	$214.24	$424.91