Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.96 / $196.96 / $312.32	Facility		$196.96	$196.96	$312.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $150.00 / $196.96	Professional		$111.51	$150.00	$196.96
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 $124.39 / $199.59 / $541.47	Professional		$124.39	$199.59	$541.47
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 $88.53 / $314.33 / $1,033.19	Professional		$88.53	$314.33	$1,033.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.38 / $163.24 / $295.44	Facility		$104.38	$163.24	$295.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $158.31 / $354.53	Facility		$103.63	$158.31	$354.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.37 / $463.60 / $858.36	Professional		$192.37	$463.60	$858.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $85.64 / $209.39	Professional		$58.40	$85.64	$209.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.38 / $167.79 / $295.44	Facility		$104.38	$167.79	$295.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $286.14 / $401.35	Professional		$159.46	$286.14	$401.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $656.69 / $656.69 / $656.69	Facility		$656.69	$656.69	$656.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $794.60 / $858.36	Professional		$88.53	$794.60	$858.36
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 $173.57 / $414.93 / $757.58	Professional		$173.57	$414.93	$757.58