Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.21 / $249.21 / $817.84	Facility		$249.21	$249.21	$817.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $249.21 / $817.84	Professional		$199.52	$249.21	$817.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $378.27 / $762.90	Professional		$194.71	$378.27	$762.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $731.86 / $1,122.69	Facility		$626.28	$731.86	$1,122.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $456.83 / $655.39	Professional		$209.90	$456.83	$655.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $279.10 / $611.85	Facility		$207.83	$279.10	$611.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.86 / $586.35 / $1,789.00	Facility		$233.86	$586.35	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $317.82 / $799.01	Professional		$188.01	$317.82	$799.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $177.00 / $390.04	Professional		$112.44	$177.00	$390.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $279.10 / $611.85	Facility		$207.83	$279.10	$611.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.80 / $525.75 / $723.80	Professional		$394.80	$525.75	$723.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $433.78 / $542.23 / $1,003.13	Facility		$433.78	$542.23	$1,003.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $976.01 / $1,509.85	Professional		$268.95	$976.01	$1,509.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $342.36 / $798.78 / $798.78	Professional		$342.36	$798.78	$798.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $317.82 / $766.68	Professional		$184.94	$317.82	$766.68