Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $214.79 / $273.80	Facility		$200.00	$214.79	$273.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $214.79 / $1,091.56	Professional		$124.37	$214.79	$1,091.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $260.51 / $942.52	Professional		$138.57	$260.51	$942.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.25 / $411.65 / $649.38	Facility		$362.25	$411.65	$649.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.62 / $465.54 / $529.03	Professional		$188.62	$465.54	$529.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $155.25 / $346.57	Facility		$124.37	$155.25	$346.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $155.76 / $1,027.46	Facility		$124.37	$155.76	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.84 / $332.80 / $1,140.68	Professional		$186.84	$332.80	$1,140.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $105.02 / $251.31	Professional		$56.22	$105.02	$251.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $155.25 / $346.57	Facility		$124.37	$155.25	$346.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $314.80 / $562.92	Professional		$256.10	$314.80	$562.92
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 $196.08 / $901.70 / $1,140.68	Professional		$196.08	$901.70	$1,140.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $455.86 / $455.86 / $455.86	Professional		$455.86	$455.86	$455.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $428.31 / $829.57 / $871.44	Professional		$428.31	$829.57	$871.44
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 $165.57 / $317.02 / $790.34	Professional		$165.57	$317.02	$790.34