Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.27 / $371.27 / $712.22	Facility		$371.27	$371.27	$712.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $249.93 / $371.27	Professional		$187.93	$249.93	$371.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $371.27 / $1,172.48	Professional		$195.66	$371.27	$1,172.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.84 / $598.12 / $917.53	Facility		$511.84	$598.12	$917.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $553.92 / $629.46	Professional		$310.83	$553.92	$629.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.61 / $315.58 / $556.91	Facility		$177.61	$315.58	$556.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.06 / $399.62 / $7,093.30	Facility		$189.06	$399.62	$7,093.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.57 / $429.36 / $1,248.85	Professional		$207.57	$429.36	$1,248.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $125.96 / $370.88	Professional		$28.18	$125.96	$370.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $177.61 / $303.77 / $556.91	Facility		$177.61	$303.77	$556.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.60 / $535.32 / $642.75	Professional		$339.60	$535.32	$642.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $253.98 / $1,377.76 / $1,799.36	Facility		$253.98	$1,377.76	$1,799.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.18 / $980.75 / $1,248.85	Professional		$321.18	$980.75	$1,248.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $648.96 / $648.96 / $648.96	Professional		$648.96	$648.96	$648.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $893.83 / $1,312.38 / $1,312.38	Professional		$893.83	$1,312.38	$1,312.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,756.00 / $20,120.00	Facility		$1,034.00	$1,756.00	$20,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $401.17 / $859.63	Professional		$203.18	$401.17	$859.63