Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.55 / $267.55 / $267.55	Facility		$267.55	$267.55	$267.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $294.05 / $1,168.31	Professional		$267.55	$294.05	$1,168.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.17 / $547.91 / $972.56	Professional		$337.17	$547.91	$972.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.33 / $965.63 / $1,481.30	Facility		$826.33	$965.63	$1,481.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.13 / $657.26 / $746.89	Professional		$364.13	$657.26	$746.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.94 / $344.81 / $660.70	Facility		$216.94	$344.81	$660.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.94 / $344.81 / $660.70	Facility		$216.94	$344.81	$660.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $472.12 / $898.52	Professional		$275.81	$472.12	$898.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $776.64	Professional		$65.00	$65.00	$776.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $216.94 / $344.81 / $660.70	Facility		$216.94	$344.81	$660.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $382.95 / $702.82 / $980.10	Professional		$382.95	$702.82	$980.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,577.08 / $1,577.08 / $1,577.08	Facility		$1,577.08	$1,577.08	$1,577.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.10 / $238.10	Professional		$238.10	$238.10	$238.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $254.17 / $254.17 / $254.17	Professional		$254.17	$254.17	$254.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $254.17 / $254.17 / $254.17	Professional		$254.17	$254.17	$254.17
United Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $469.20 / $856.81	Professional		$275.81	$469.20	$856.81