Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $291.60 / $396.88	Facility		$200.00	$291.60	$396.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.14 / $291.60 / $1,212.86	Professional		$169.14	$291.60	$1,212.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $296.60 / $1,049.63	Professional		$188.13	$296.60	$1,049.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.25 / $598.02 / $943.38	Facility		$526.25	$598.02	$943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $675.46 / $767.56	Professional		$273.39	$675.46	$767.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.14 / $236.97 / $392.29	Facility		$169.14	$236.97	$392.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.14 / $244.57 / $1,027.46	Facility		$169.14	$244.57	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.17 / $415.02 / $1,484.44	Professional		$216.17	$415.02	$1,484.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $154.93 / $374.24	Professional		$65.00	$154.93	$374.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.14 / $236.97 / $392.29	Facility		$169.14	$236.97	$392.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.15 / $461.92 / $816.75	Professional		$371.15	$461.92	$816.75
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 $284.49 / $1,006.15 / $1,484.44	Professional		$284.49	$1,006.15	$1,484.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $507.64 / $507.64 / $507.64	Professional		$507.64	$507.64	$507.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $488.48 / $1,203.61 / $1,203.61	Professional		$488.48	$1,203.61	$1,203.61
United Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $386.50 / $881.89	Professional		$212.21	$386.50	$881.89