Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.03 / $171.03 / $171.03	Facility		$171.03	$171.03	$171.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $181.97 / $238.68	Professional		$149.24	$181.97	$238.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.77 / $288.44 / $555.00	Professional		$185.77	$288.44	$555.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.11 / $573.90 / $880.38	Facility		$491.11	$573.90	$880.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $256.41 / $345.59	Professional		$167.84	$256.41	$345.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $198.97 / $373.84	Facility		$161.94	$198.97	$373.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.71 / $198.97 / $380.21	Facility		$161.71	$198.97	$380.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.07 / $335.98 / $1,182.54	Professional		$205.07	$335.98	$1,182.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $160.92 / $336.71	Professional		$99.30	$160.92	$336.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $197.29 / $373.84	Facility		$161.94	$197.29	$373.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $304.56 / $444.88 / $640.48	Professional		$304.56	$444.88	$640.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $952.86	Facility		$217.02	$217.02	$952.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $938.85 / $1,182.54	Professional		$167.84	$938.85	$1,182.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $540.87 / $633.02	Professional		$318.87	$540.87	$633.02
United Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $328.60 / $657.20	Professional		$204.34	$328.60	$657.20