Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $235.90 / $318.67	Facility		$200.00	$235.90	$318.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $235.90 / $1,010.26	Professional		$136.33	$235.90	$1,010.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $248.19 / $884.56	Professional		$152.19	$248.19	$884.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.53 / $481.28 / $759.23	Facility		$423.53	$481.28	$759.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.53 / $542.23 / $616.17	Professional		$219.53	$542.23	$616.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.33 / $181.29 / $320.23	Facility		$136.33	$181.29	$320.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.33 / $182.25 / $1,027.46	Facility		$136.33	$182.25	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.05 / $381.19 / $1,057.01	Professional		$184.05	$381.19	$1,057.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $122.26 / $277.95	Professional		$73.75	$122.26	$277.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.33 / $181.29 / $320.23	Facility		$136.33	$181.29	$320.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.35 / $362.06 / $655.66	Professional		$298.35	$362.06	$655.66
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 $228.38 / $832.55 / $1,057.01	Professional		$228.38	$832.55	$1,057.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $422.01 / $422.01 / $422.01	Professional		$422.01	$422.01	$422.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $504.22 / $966.23 / $966.23	Professional		$504.22	$966.23	$966.23
United Facility/Professional Facility Modifier Low / Median / High Price $312.63 / $312.63 / $318.42	Facility		$312.63	$312.63	$318.42
United Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $333.02 / $729.73	Professional		$182.00	$333.02	$729.73