Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $343.42 / $464.20	Facility		$200.00	$343.42	$464.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.03 / $343.42 / $618.92	Professional		$243.03	$343.42	$618.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.56 / $354.37 / $1,242.09	Professional		$221.56	$354.37	$1,242.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.97 / $704.51 / $1,111.38	Facility		$619.97	$704.51	$1,111.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $793.47 / $901.68	Professional		$319.77	$793.47	$901.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.63 / $261.89 / $457.69	Facility		$198.63	$261.89	$457.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.63 / $264.08 / $1,027.46	Facility		$198.63	$264.08	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.98 / $486.50 / $1,503.61	Professional		$247.98	$486.50	$1,503.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $185.73 / $439.22	Professional		$65.00	$185.73	$439.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.63 / $261.89 / $457.69	Facility		$198.63	$261.89	$457.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.20 / $526.91 / $952.42	Professional		$434.20	$526.91	$952.42
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 $334.19 / $1,171.95 / $1,503.61	Professional		$334.19	$1,171.95	$1,503.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $600.75 / $600.75 / $600.75	Professional		$600.75	$600.75	$600.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $579.17 / $1,413.88 / $1,413.88	Professional		$579.17	$1,413.88	$1,413.88
United Facility/Professional Professional Modifier Low / Median / High Price $247.98 / $486.50 / $1,027.21	Professional		$247.98	$486.50	$1,027.21