Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.46 / $332.46 / $332.46	Facility		$332.46	$332.46	$332.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $304.48 / $377.37	Professional		$147.00	$304.48	$377.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $439.32 / $1,020.67	Professional		$202.75	$439.32	$1,020.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.47 / $346.45 / $531.46	Facility		$296.47	$346.45	$531.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $600.20 / $855.35	Professional		$225.90	$600.20	$855.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.80 / $304.48 / $465.44	Facility		$163.80	$304.48	$465.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.13 / $332.46 / $654.78	Facility		$172.13	$332.46	$654.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.41 / $500.79 / $1,852.75	Professional		$291.41	$500.79	$1,852.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $75.94 / $151.88	Professional		$54.22	$75.94	$151.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $163.80 / $308.24 / $465.44	Facility		$163.80	$308.24	$465.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $498.56 / $731.50 / $1,045.00	Professional		$498.56	$731.50	$1,045.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.72 / $1,438.12 / $1,438.12	Facility		$416.72	$1,438.12	$1,438.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $521.79 / $1,360.35 / $1,852.75	Professional		$521.79	$1,360.35	$1,852.75
Security Health Facility/Professional Facility Modifier Low / Median / High Price $214.24 / $214.24 / $214.24	Facility		$214.24	$214.24	$214.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $192.82 / $214.24	Professional		$182.10	$192.82	$214.24
United Facility/Professional Professional Modifier Low / Median / High Price $291.41 / $476.12 / $909.56	Professional		$291.41	$476.12	$909.56