Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $385.53 / $518.04	Facility		$200.00	$385.53	$518.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.98 / $385.53 / $1,675.12	Professional		$222.98	$385.53	$1,675.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $414.74 / $1,432.05	Professional		$248.73	$414.74	$1,432.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.96 / $787.46 / $1,242.22	Facility		$692.96	$787.46	$1,242.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.86 / $887.58 / $1,008.61	Professional		$356.86	$887.58	$1,008.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $276.29 / $534.47	Facility		$209.25	$276.29	$534.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $294.70 / $1,027.46	Facility		$209.25	$294.70	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.63 / $546.96 / $1,730.06	Professional		$302.63	$546.96	$1,730.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $205.90 / $498.07	Professional		$65.00	$205.90	$498.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $276.29 / $534.47	Facility		$209.25	$276.29	$534.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $586.87 / $1,014.80	Professional		$483.60	$586.87	$1,014.80
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 $373.84 / $1,384.40 / $1,730.06	Professional		$373.84	$1,384.40	$1,730.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $692.61 / $692.61 / $692.61	Professional		$692.61	$692.61	$692.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $679.80 / $1,581.60 / $1,581.60	Professional		$679.80	$1,581.60	$1,581.60
United Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $442.54 / $1,213.43	Professional		$292.81	$442.54	$1,213.43