Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.49 / $200.00 / $276.98	Facility		$199.49	$200.00	$276.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $199.49 / $276.98	Professional		$136.77	$199.49	$276.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $274.31 / $742.38	Professional		$128.71	$274.31	$742.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.24 / $412.79 / $633.23	Facility		$353.24	$412.79	$633.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $463.88 / $527.14	Professional		$190.81	$463.88	$527.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.47 / $160.90 / $292.50	Facility		$117.47	$160.90	$292.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.47 / $160.90 / $303.75	Facility		$117.47	$160.90	$303.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $365.74 / $1,174.00	Professional		$152.18	$365.74	$1,174.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $116.28 / $255.53	Professional		$50.15	$116.28	$255.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.47 / $160.90 / $292.50	Facility		$117.47	$160.90	$292.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $381.73 / $560.91	Professional		$254.80	$381.73	$560.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $650.40 / $650.40 / $650.40	Facility		$650.40	$650.40	$650.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.58 / $674.80 / $1,174.00	Professional		$220.58	$674.80	$1,174.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $452.70 / $452.70 / $452.70	Professional		$452.70	$452.70	$452.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $475.89 / $809.80 / $809.80	Professional		$475.89	$809.80	$809.80
United Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $337.40 / $648.96	Professional		$147.56	$337.40	$648.96