Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $281.14 / $381.56	Facility		$200.00	$281.14	$381.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $281.14 / $1,181.56	Professional		$162.63	$281.14	$1,181.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $292.25 / $1,014.04	Professional		$181.39	$292.25	$1,014.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.13 / $578.55 / $912.69	Facility		$509.13	$578.55	$912.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $651.61 / $740.46	Professional		$262.83	$651.61	$740.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $230.25 / $378.02	Facility		$162.63	$230.25	$378.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $236.96 / $1,376.32	Facility		$162.63	$236.96	$1,376.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $401.64 / $1,227.50	Professional		$206.22	$401.64	$1,227.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $157.68 / $377.33	Professional		$65.00	$157.68	$377.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $230.25 / $378.02	Facility		$162.63	$230.25	$378.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $499.42 / $787.92	Professional		$357.50	$499.42	$787.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,752.56 / $1,752.56 / $1,752.56	Facility		$1,752.56	$1,752.56	$1,752.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.44 / $974.75 / $1,227.50	Professional		$274.44	$974.75	$1,227.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $490.45 / $490.45 / $490.45	Professional		$490.45	$490.45	$490.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.13 / $1,161.08 / $1,161.08	Professional		$478.13	$1,161.08	$1,161.08
United Facility/Professional Facility Modifier Low / Median / High Price $760.72 / $760.72 / $760.72	Facility		$760.72	$760.72	$760.72
United Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $371.52 / $854.37	Professional		$206.22	$371.52	$854.37