Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $1,894.00 / $17,823.00	Facility		$168.00	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $275.73 / $406.89	Professional		$168.00	$275.73	$406.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $620.30 / $1,880.94	Professional		$245.63	$620.30	$1,880.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.01 / $851.90 / $1,306.83	Facility		$729.01	$851.90	$1,306.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $1,003.42 / $1,140.25	Professional		$316.33	$1,003.42	$1,140.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $278.19 / $557.32	Facility		$168.00	$278.19	$557.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.97 / $325.25 / $1,789.00	Facility		$208.97	$325.25	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.79 / $568.26 / $2,151.44	Professional		$302.79	$568.26	$2,151.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $278.19 / $557.32	Facility		$168.00	$278.19	$557.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.40 / $624.73 / $899.40	Professional		$340.40	$624.73	$899.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $1,198.92 / $1,198.92	Facility		$330.96	$1,198.92	$1,198.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,142.96 / $2,151.44 / $2,151.44	Professional		$1,142.96	$2,151.44	$2,151.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $995.63 / $995.63 / $995.63	Professional		$995.63	$995.63	$995.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.34 / $1,415.34 / $1,415.34	Professional		$1,415.34	$1,415.34	$1,415.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $287.20 / $529.88 / $1,170.90	Professional		$287.20	$529.88	$1,170.90