Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.06 / $215.06 / $215.06	Facility		$215.06	$215.06	$215.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $236.36 / $1,038.83	Professional		$215.06	$236.36	$1,038.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.05 / $440.40 / $781.71	Professional		$273.05	$440.40	$781.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.13 / $776.08 / $1,190.53	Facility		$664.13	$776.08	$1,190.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $584.41 / $664.10	Professional		$292.88	$584.41	$664.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.05 / $277.16 / $531.09	Facility		$199.05	$277.16	$531.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.05 / $277.16 / $531.09	Facility		$199.05	$277.16	$531.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $389.86 / $801.38	Professional		$258.63	$389.86	$801.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $712.61	Professional		$65.00	$65.00	$712.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $199.05 / $277.16 / $531.09	Facility		$199.05	$277.16	$531.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.74 / $564.78 / $787.60	Professional		$307.74	$564.78	$787.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,267.32 / $1,267.32 / $1,267.32	Facility		$1,267.32	$1,267.32	$1,267.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.31 / $204.31 / $204.31	Professional		$204.31	$204.31	$204.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.31 / $204.31 / $204.31	Professional		$204.31	$204.31	$204.31
United Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $367.68 / $801.38	Professional		$231.60	$367.68	$801.38