Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $162.26 / $162.26	Facility		$162.26	$162.26	$162.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $162.26 / $202.82	Professional		$162.26	$162.26	$202.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.61 / $370.27 / $384.05	Facility		$318.61	$370.27	$384.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $169.02 / $169.02	Professional		$169.02	$169.02	$169.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $242.32 / $443.29	Facility		$172.40	$242.32	$443.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $172.40 / $208.97	Professional		$172.19	$172.40	$208.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $162.26 / $172.40	Facility		$132.74	$162.26	$172.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $162.26 / $172.40	Facility		$132.74	$162.26	$172.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $425.92	Professional		$202.82	$202.82	$425.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $162.26 / $172.40	Facility		$132.74	$162.26	$172.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $845.30 / $845.30 / $845.30	Facility		$845.30	$845.30	$845.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $214.99 / $726.48	Professional		$172.40	$214.99	$726.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $158.22 / $158.22	Professional		$158.22	$158.22	$158.22
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $277.70	Professional		$202.82	$202.82	$277.70