Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $366.89 / $496.42	Facility		$200.00	$366.89	$496.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $366.89 / $1,507.79	Professional		$212.39	$366.89	$1,507.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.71 / $376.95 / $1,328.34	Professional		$236.71	$376.95	$1,328.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.22 / $753.66 / $1,188.92	Facility		$663.22	$753.66	$1,188.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.97 / $849.27 / $965.08	Professional		$341.97	$849.27	$965.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $264.76 / $487.67	Facility		$178.20	$264.76	$487.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $282.41 / $1,027.46	Facility		$178.20	$282.41	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $498.74 / $1,605.02	Professional		$263.45	$498.74	$1,605.02
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 $178.20 / $264.76 / $487.67	Facility		$178.20	$264.76	$487.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $351.85 / $563.20 / $810.82	Professional		$351.85	$563.20	$810.82
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 $357.69 / $1,246.84 / $1,605.02	Professional		$357.69	$1,246.84	$1,605.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $642.45 / $642.45 / $642.45	Professional		$642.45	$642.45	$642.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $610.94 / $1,513.27 / $1,513.27	Professional		$610.94	$1,513.27	$1,513.27
United Facility/Professional Facility Modifier Low / Median / High Price $590.33 / $590.33 / $590.33	Facility		$590.33	$590.33	$590.33
United Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $521.77 / $1,092.85	Professional		$263.45	$521.77	$1,092.85