Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $298.08 / $405.34	Facility		$200.00	$298.08	$405.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $298.08 / $1,252.11	Professional		$172.62	$298.08	$1,252.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.31 / $309.70 / $1,076.15	Professional		$192.31	$309.70	$1,076.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.87 / $612.35 / $965.99	Facility		$538.87	$612.35	$965.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.23 / $690.47 / $784.63	Professional		$279.23	$690.47	$784.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $172.62 / $229.50 / $401.41	Facility		$172.62	$229.50	$401.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.62 / $230.59 / $1,027.46	Facility		$172.62	$230.59	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.29 / $427.92 / $1,301.77	Professional		$219.29	$427.92	$1,301.77
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 $172.62 / $229.50 / $401.41	Facility		$172.62	$229.50	$401.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.60 / $484.46 / $834.91	Professional		$379.60	$484.46	$834.91
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 $290.81 / $1,035.25 / $1,301.77	Professional		$290.81	$1,035.25	$1,301.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $520.48 / $520.48 / $520.48	Professional		$520.48	$520.48	$520.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $509.43 / $1,230.34 / $1,230.34	Professional		$509.43	$1,230.34	$1,230.34
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 $219.29 / $414.10 / $995.62	Professional		$219.29	$414.10	$995.62