Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $260.77 / $352.51	Facility		$200.00	$260.77	$352.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $260.77 / $1,281.98	Professional		$151.09	$260.77	$1,281.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $302.52 / $977.28	Professional		$168.24	$302.52	$977.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.58 / $532.48 / $840.00	Facility		$468.58	$532.48	$840.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.83 / $601.52 / $683.55	Professional		$242.83	$601.52	$683.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.09 / $243.10 / $413.81	Facility		$151.09	$243.10	$413.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.09 / $250.08 / $1,027.46	Facility		$151.09	$250.08	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $440.47 / $1,162.32	Professional		$224.66	$440.47	$1,162.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $131.42 / $312.33	Professional		$65.00	$131.42	$312.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.09 / $243.10 / $413.81	Facility		$151.09	$243.10	$413.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $328.90 / $492.74 / $902.53	Professional		$328.90	$492.74	$902.53
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 $253.35 / $1,060.70 / $1,162.32	Professional		$253.35	$1,060.70	$1,162.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $466.26 / $466.26 / $466.26	Professional		$466.26	$466.26	$466.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.71 / $1,071.89 / $1,071.89	Professional		$524.71	$1,071.89	$1,071.89
United Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $385.88 / $929.70	Professional		$204.91	$385.88	$929.70