Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.17 / $231.17 / $1,787.76	Facility		$231.17	$231.17	$1,787.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $226.98 / $354.71	Professional		$138.21	$226.98	$354.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $419.10 / $1,104.19	Professional		$202.27	$419.10	$1,104.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $560.21 / $859.38	Facility		$479.40	$560.21	$859.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.98 / $431.02 / $595.47	Professional		$282.98	$431.02	$595.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.09 / $231.17 / $369.75	Facility		$162.09	$231.17	$369.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $226.93 / $405.23	Facility		$147.88	$226.93	$405.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $679.85 / $1,483.88	Professional		$182.52	$679.85	$1,483.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $283.66	Professional		$58.40	$70.00	$283.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.09 / $231.17 / $374.66	Facility		$162.09	$231.17	$374.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $539.14 / $756.18	Professional		$300.43	$539.14	$756.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,058.15 / $1,058.15 / $1,058.15	Facility		$1,058.15	$1,058.15	$1,058.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $1,153.50 / $1,354.45	Professional		$311.52	$1,153.50	$1,354.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $168.25 / $168.25	Professional		$168.25	$168.25	$168.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $885.01 / $885.01	Professional		$210.31	$885.01	$885.01
United Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $486.02 / $1,821.04	Professional		$181.57	$486.02	$1,821.04