Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $348.04 / $348.04	Facility		$142.04	$348.04	$348.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $240.00 / $348.04	Professional		$180.14	$240.00	$348.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $960.00 / $1,964.14	Facility		$541.00	$960.00	$1,964.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $300.00 / $814.53	Professional		$184.89	$300.00	$814.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.53 / $686.58 / $1,053.22	Facility		$587.53	$686.58	$1,053.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $314.33 / $1,033.19	Professional		$146.27	$314.33	$1,033.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $176.04 / $240.00 / $450.19	Facility		$176.04	$240.00	$450.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.85 / $240.00 / $443.14	Facility		$175.85	$240.00	$443.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.39 / $463.60 / $1,234.73	Professional		$209.39	$463.60	$1,234.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $85.64 / $314.08	Professional		$50.28	$85.64	$314.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $176.04 / $240.00 / $450.19	Facility		$176.04	$240.00	$450.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.69 / $431.93 / $605.80	Professional		$240.69	$431.93	$605.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $991.21 / $991.21 / $991.21	Facility		$991.21	$991.21	$991.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $1,195.30 / $1,234.73	Professional		$146.27	$1,195.30	$1,234.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $266.97 / $266.97	Professional		$266.97	$266.97	$266.97
Security Health Facility/Professional Facility Modifier Low / Median / High Price $327.88 / $416.68 / $462.41	Facility		$327.88	$416.68	$462.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.71 / $1,143.27 / $1,143.27	Professional		$333.71	$1,143.27	$1,143.27
United Facility/Professional Professional Modifier Low / Median / High Price $209.24 / $405.19 / $757.58	Professional		$209.24	$405.19	$757.58