Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.57 / $719.07 / $2,129.51	Facility		$203.57	$719.07	$2,129.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $633.14 / $883.60	Professional		$172.56	$633.14	$883.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $831.76 / $3,054.76	Professional		$301.52	$831.76	$3,054.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.03 / $1,810.16 / $2,919.72	Facility		$1,549.03	$1,810.16	$2,919.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $761.65 / $2,352.33	Professional		$336.18	$761.65	$2,352.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.62 / $354.35 / $1,141.76	Facility		$179.62	$354.35	$1,141.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.59 / $1,100.00 / $1,789.00	Facility		$191.59	$1,100.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $865.00 / $2,203.13 / $4,107.76	Professional		$865.00	$2,203.13	$4,107.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $572.11 / $1,460.08	Professional		$85.00	$572.11	$1,460.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $179.62 / $354.35 / $1,141.76	Facility		$179.62	$354.35	$1,141.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $737.40 / $1,977.08	Professional		$391.93	$737.40	$1,977.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $770.52 / $770.52 / $770.52	Facility		$770.52	$770.52	$770.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.26 / $2,203.13 / $4,251.04	Professional		$288.26	$2,203.13	$4,251.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.27 / $3,494.08 / $4,029.07	Professional		$1,125.27	$3,494.08	$4,029.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $776.93 / $2,374.06 / $3,565.55	Professional		$776.93	$2,374.06	$3,565.55