Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $247.67 / $337.19	Facility		$200.00	$247.67	$337.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $247.67 / $1,033.72	Professional		$143.21	$247.67	$1,033.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.79 / $249.28 / $891.58	Professional		$159.79	$249.28	$891.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.76 / $509.95 / $804.46	Facility		$448.76	$509.95	$804.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $573.41 / $651.60	Professional		$232.28	$573.41	$651.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $179.83 / $331.34	Facility		$143.00	$179.83	$331.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $191.82 / $1,027.46	Facility		$143.00	$191.82	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.34 / $341.20 / $1,080.14	Professional		$179.34	$341.20	$1,080.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.96 / $122.26 / $277.95	Professional		$74.96	$122.26	$277.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $179.83 / $331.34	Facility		$143.00	$179.83	$331.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.84 / $383.36 / $551.90	Professional		$250.84	$383.36	$551.90
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 $241.50 / $853.00 / $1,080.14	Professional		$241.50	$853.00	$1,080.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $431.22 / $431.22 / $431.22	Professional		$431.22	$431.22	$431.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.57 / $1,021.69 / $1,021.69	Professional		$416.57	$1,021.69	$1,021.69
United Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $273.08 / $747.65	Professional		$170.96	$273.08	$747.65