Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $575.16	Facility		$200.00	$200.00	$575.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.66 / $427.64 / $575.16	Professional		$330.66	$427.64	$575.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $116.25 / $337.70	Professional		$56.87	$116.25	$337.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.26 / $784.38 / $1,237.38	Facility		$690.26	$784.38	$1,237.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $874.85 / $994.15	Professional		$89.53	$874.85	$994.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $330.66 / $575.16	Facility		$66.62	$330.66	$575.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $330.66 / $1,027.46	Facility		$66.62	$330.66	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.47 / $664.55 / $1,601.10	Professional		$238.47	$664.55	$1,601.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $81.34 / $809.67	Professional		$19.27	$81.34	$809.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $318.49 / $575.16	Facility		$66.62	$318.49	$575.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $171.36 / $267.26	Professional		$117.00	$171.36	$267.26
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 $87.14 / $309.55 / $938.34	Professional		$87.14	$309.55	$938.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $632.87 / $632.87 / $632.87	Professional		$632.87	$632.87	$632.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.92 / $1,583.14 / $1,583.14	Professional		$1,134.92	$1,583.14	$1,583.14
United Facility/Professional Professional Modifier Low / Median / High Price $315.85 / $664.55 / $1,691.27	Professional		$315.85	$664.55	$1,691.27