Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $303.88 / $435.76	Facility		$200.00	$303.88	$435.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $303.88 / $1,285.63	Professional		$175.67	$303.88	$1,285.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $303.88 / $1,144.35	Professional		$196.05	$303.88	$1,144.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.62 / $656.38 / $1,035.46	Facility		$577.62	$656.38	$1,035.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $738.17 / $838.83	Professional		$296.14	$738.17	$838.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $232.40 / $413.88	Facility		$158.63	$232.40	$413.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $247.90 / $1,027.46	Facility		$158.63	$247.90	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.97 / $424.30 / $1,334.29	Professional		$203.97	$424.30	$1,334.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $180.41 / $436.16	Professional		$65.00	$180.41	$436.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $232.40 / $413.88	Facility		$158.63	$232.40	$413.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $352.71 / $494.58 / $712.02	Professional		$352.71	$494.58	$712.02
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 $310.89 / $1,060.75 / $1,334.29	Professional		$310.89	$1,060.75	$1,334.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $533.61 / $533.61 / $533.61	Professional		$533.61	$533.61	$533.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $522.83 / $1,315.28 / $1,315.28	Professional		$522.83	$1,315.28	$1,315.28
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 $201.89 / $285.47 / $929.75	Professional		$201.89	$285.47	$929.75