Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $321.93 / $435.62	Facility		$200.00	$321.93	$435.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.27 / $321.93 / $1,329.77	Professional		$186.27	$321.93	$1,329.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $329.52 / $1,161.54	Professional		$207.70	$329.52	$1,161.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.22 / $660.48 / $1,041.92	Facility		$581.22	$660.48	$1,041.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $743.80 / $845.23	Professional		$300.08	$743.80	$845.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $232.33 / $426.57	Facility		$186.27	$232.33	$426.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $247.82 / $1,027.46	Facility		$186.27	$247.82	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.83 / $439.28 / $1,406.02	Professional		$230.83	$439.28	$1,406.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $180.41 / $436.16	Professional		$65.00	$180.41	$436.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $232.33 / $426.57	Facility		$186.27	$232.33	$426.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $401.89 / $494.58 / $782.55	Professional		$401.89	$494.58	$782.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,229.45 / $1,229.45 / $1,229.45	Facility		$1,229.45	$1,229.45	$1,229.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $1,098.20 / $1,406.02	Professional		$313.26	$1,098.20	$1,406.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $561.78 / $561.78 / $561.78	Professional		$561.78	$561.78	$561.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $529.70 / $1,325.35 / $1,325.35	Professional		$529.70	$1,325.35	$1,325.35
United Facility/Professional Professional Modifier Low / Median / High Price $230.83 / $410.78 / $1,056.16	Professional		$230.83	$410.78	$1,056.16