Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.87 / $760.24 / $2,069.40	Facility		$177.87	$760.24	$2,069.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $532.29 / $951.83	Professional		$118.95	$532.29	$951.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $823.41 / $3,052.47	Professional		$249.55	$823.41	$3,052.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,565.25 / $1,829.11 / $2,950.29	Facility		$1,565.25	$1,829.11	$2,950.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $649.11 / $2,292.35	Professional		$270.56	$649.11	$2,292.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $153.07 / $303.20 / $1,109.53	Facility		$153.07	$303.20	$1,109.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $1,100.00 / $1,789.00	Facility		$163.28	$1,100.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.50 / $2,175.41 / $3,947.98	Professional		$803.50	$2,175.41	$3,947.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $516.05 / $1,265.25	Professional		$85.00	$516.05	$1,265.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.07 / $303.20 / $1,109.53	Facility		$153.07	$303.20	$1,109.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.10 / $633.65 / $1,913.49	Professional		$331.10	$633.65	$1,913.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,044.08 / $1,044.08 / $1,044.08	Facility		$1,044.08	$1,044.08	$1,044.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.43 / $2,175.41 / $4,264.96	Professional		$268.43	$2,175.41	$4,264.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $966.48 / $3,053.20 / $4,056.97	Professional		$966.48	$3,053.20	$4,056.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $775.75 / $2,028.83 / $3,580.07	Professional		$775.75	$2,028.83	$3,580.07