Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $281.07 / $378.79	Facility		$200.00	$281.07	$378.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $281.07 / $1,208.25	Professional		$162.68	$281.07	$1,208.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $297.86 / $1,056.35	Professional		$181.34	$297.86	$1,056.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.43 / $575.49 / $907.84	Facility		$506.43	$575.49	$907.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $648.52 / $736.95	Professional		$260.94	$648.52	$736.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $235.64 / $384.40	Facility		$162.68	$235.64	$384.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $263.89 / $1,027.46	Facility		$162.68	$263.89	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $456.52 / $1,257.98	Professional		$221.29	$456.52	$1,257.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $157.68 / $377.33	Professional		$65.00	$157.68	$377.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $235.64 / $384.40	Facility		$162.68	$235.64	$384.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $353.60 / $472.13 / $784.18	Professional		$353.60	$472.13	$784.18
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 $273.14 / $999.65 / $1,257.98	Professional		$273.14	$999.65	$1,257.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $503.98 / $503.98 / $503.98	Professional		$503.98	$503.98	$503.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $586.57 / $1,155.55 / $1,155.55	Professional		$586.57	$1,155.55	$1,155.55
United Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $454.03 / $876.19	Professional		$218.52	$454.03	$876.19