Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.56 / $268.60 / $930.08	Facility		$263.56	$268.60	$930.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $264.77 / $392.27	Professional		$230.20	$264.77	$392.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $354.94 / $1,069.57	Professional		$227.50	$354.94	$1,069.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.52 / $771.87 / $1,184.07	Facility		$660.52	$771.87	$1,184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.85 / $623.14 / $890.66	Professional		$295.85	$623.14	$890.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.03 / $273.49 / $474.41	Facility		$232.03	$273.49	$474.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $273.49 / $474.41	Facility		$229.79	$273.49	$474.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.76 / $767.33 / $5,040.00	Professional		$319.76	$767.33	$5,040.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $222.86 / $480.99	Professional		$137.91	$222.86	$480.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $232.03 / $273.49 / $490.01	Facility		$232.03	$273.49	$490.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $583.71 / $828.30	Professional		$323.64	$583.71	$828.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,120.20 / $1,120.20 / $1,120.20	Facility		$1,120.20	$1,120.20	$1,120.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $1,258.90 / $5,040.00	Professional		$382.00	$1,258.90	$5,040.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $528.32 / $1,258.58 / $1,282.55	Professional		$528.32	$1,258.58	$1,282.55
United Facility/Professional Professional Modifier Low / Median / High Price $297.30 / $535.84 / $944.18	Professional		$297.30	$535.84	$944.18