Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.06 / $230.06 / $230.06	Facility		$230.06	$230.06	$230.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $230.06 / $367.13	Professional		$194.49	$230.06	$367.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.68 / $410.83 / $821.66	Professional		$205.68	$410.83	$821.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.26 / $806.62 / $1,301.05	Facility		$690.26	$806.62	$1,301.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.76 / $573.95 / $1,096.66	Professional		$420.76	$573.95	$1,096.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $230.06 / $291.01 / $422.05	Facility		$230.06	$291.01	$422.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $301.75 / $422.05	Facility		$194.49	$301.75	$422.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $476.08 / $1,177.77	Professional		$275.16	$476.08	$1,177.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $520.29	Professional		$50.00	$70.00	$520.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $230.06 / $291.01 / $422.05	Facility		$230.06	$291.01	$422.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $575.49 / $692.35	Professional		$416.00	$575.49	$692.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $968.85 / $968.85 / $968.85	Facility		$968.85	$968.85	$968.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.43 / $1,037.30 / $2,805.00	Professional		$245.43	$1,037.30	$2,805.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $787.45 / $787.45 / $787.45	Professional		$787.45	$787.45	$787.45
United Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $477.16 / $800.98	Professional		$269.63	$477.16	$800.98