Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $292.52 / $356.36	Facility		$200.00	$292.52	$356.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $292.52 / $1,157.93	Professional		$169.13	$292.52	$1,157.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $292.52 / $1,050.18	Professional		$184.77	$292.52	$1,050.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.44 / $585.73 / $923.99	Facility		$515.44	$585.73	$923.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.48 / $659.23 / $749.13	Professional		$245.48	$659.23	$749.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $221.00 / $354.56	Facility		$158.38	$221.00	$354.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $221.72 / $1,027.46	Facility		$158.38	$221.72	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.73 / $363.76 / $1,288.78	Professional		$173.73	$363.76	$1,288.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $147.33 / $309.55	Professional		$82.72	$147.33	$309.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $221.00 / $354.56	Facility		$158.38	$221.00	$354.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.72 / $405.44 / $649.79	Professional		$333.72	$405.44	$649.79
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 $277.64 / $954.45 / $1,288.78	Professional		$277.64	$954.45	$1,288.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $513.53 / $513.53 / $513.53	Professional		$513.53	$513.53	$513.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $419.07 / $1,174.69 / $1,174.69	Professional		$419.07	$1,174.69	$1,174.69
United Facility/Professional Professional Modifier Low / Median / High Price $173.73 / $299.94 / $836.58	Professional		$173.73	$299.94	$836.58