Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $157.71 / $200.00	Facility		$157.71	$157.71	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $122.28 / $157.71	Professional		$108.33	$122.28	$157.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $235.22 / $659.39	Professional		$101.75	$235.22	$659.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.44 / $793.98 / $1,217.99	Facility		$679.44	$793.98	$1,217.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.12 / $743.69 / $845.10	Professional		$151.12	$743.69	$845.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.12 / $171.34 / $401.32	Facility		$93.12	$171.34	$401.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.12 / $177.93 / $492.94	Facility		$93.12	$177.93	$492.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $528.41 / $1,194.00	Professional		$243.77	$528.41	$1,194.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $135.85 / $510.52	Professional		$70.00	$135.85	$510.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.12 / $171.34 / $401.32	Facility		$93.12	$171.34	$401.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $297.98 / $1,070.29	Professional		$203.45	$297.98	$1,070.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $682.45 / $682.45 / $682.45	Facility		$682.45	$682.45	$682.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $812.50 / $1,194.00	Professional		$175.03	$812.50	$1,194.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $702.86 / $702.86 / $702.86	Professional		$702.86	$702.86	$702.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $723.64 / $1,313.29 / $1,313.29	Professional		$723.64	$1,313.29	$1,313.29
United Facility/Professional Professional Modifier Low / Median / High Price $200.66 / $428.68 / $953.28	Professional		$200.66	$428.68	$953.28