Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $690.19 / $828.82	Facility		$200.00	$690.19	$828.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $475.00 / $1,085.80	Professional		$354.37	$475.00	$1,085.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.34 / $835.51 / $2,721.46	Professional		$345.34	$835.51	$2,721.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.30 / $1,125.69 / $1,496.13	Facility		$963.30	$1,125.69	$1,496.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.46 / $1,237.16 / $1,405.86	Professional		$475.46	$1,237.16	$1,405.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $362.59 / $648.70 / $1,053.00	Facility		$362.59	$648.70	$1,053.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.37 / $713.61 / $2,719.76	Facility		$354.37	$713.61	$2,719.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.99 / $992.80 / $3,166.97	Professional		$457.99	$992.80	$3,166.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $207.99 / $601.90	Professional		$80.83	$207.99	$601.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $362.59 / $648.70 / $1,046.38	Facility		$362.59	$648.70	$1,046.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $644.15 / $965.04 / $1,495.96	Professional		$644.15	$965.04	$1,495.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $840.43 / $3,321.04 / $3,321.04	Facility		$840.43	$3,321.04	$3,321.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $521.05 / $2,003.35 / $3,166.97	Professional		$521.05	$2,003.35	$3,166.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $935.43 / $935.43 / $935.43	Professional		$935.43	$935.43	$935.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.18 / $2,204.44 / $2,670.90	Professional		$1,775.18	$2,204.44	$2,670.90
United Facility/Professional Facility Modifier Low / Median / High Price $513.98 / $513.98 / $513.98	Facility		$513.98	$513.98	$513.98
United Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $898.01 / $1,672.62	Professional		$421.82	$898.01	$1,672.62