Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.64 / $225.64 / $783.47	Facility		$225.64	$225.64	$783.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $225.64 / $348.07	Professional		$156.87	$225.64	$348.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $298.17 / $906.59	Professional		$148.97	$298.17	$906.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.29 / $657.09 / $1,007.99	Facility		$562.29	$657.09	$1,007.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $528.19 / $691.07	Professional		$163.69	$528.19	$691.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $237.79 / $429.56	Facility		$195.38	$237.79	$429.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $240.73 / $429.56	Facility		$188.44	$240.73	$429.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $499.46 / $1,377.95	Professional		$195.38	$499.46	$1,377.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $163.68 / $372.63	Professional		$63.86	$163.68	$372.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $240.73 / $429.56	Facility		$195.38	$240.73	$429.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $497.38 / $690.80	Professional		$339.12	$497.38	$690.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $950.70 / $950.70 / $950.70	Facility		$950.70	$950.70	$950.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $1,037.90 / $1,377.95	Professional		$299.52	$1,037.90	$1,377.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $268.23 / $268.23 / $268.23	Professional		$268.23	$268.23	$268.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $872.64 / $1,066.83	Professional		$315.95	$872.64	$1,066.83
United Facility/Professional Facility Modifier Low / Median / High Price $400.05 / $400.05 / $515.85	Facility		$400.05	$400.05	$515.85
United Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $416.54 / $799.19	Professional		$195.38	$416.54	$799.19