Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $863.33 / $3,469.32	Facility		$200.00	$863.33	$3,469.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.29 / $494.18 / $1,069.00	Professional		$381.29	$494.18	$1,069.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.27 / $1,000.72 / $3,264.29	Professional		$413.27	$1,000.72	$3,264.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.32 / $1,338.40 / $1,778.85	Facility		$1,145.32	$1,338.40	$1,778.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.42 / $1,479.17 / $1,680.88	Professional		$561.42	$1,479.17	$1,680.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.94 / $520.46 / $863.33	Facility		$371.94	$520.46	$863.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.74 / $618.05 / $1,122.33	Facility		$363.74	$618.05	$1,122.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.98 / $1,192.21 / $2,369.29	Professional		$549.98	$1,192.21	$2,369.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $247.20 / $724.49	Professional		$107.53	$247.20	$724.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $371.94 / $540.66 / $863.33	Facility		$371.94	$540.66	$863.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $633.85 / $980.48 / $1,788.59	Professional		$633.85	$980.48	$1,788.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $905.28 / $2,520.96 / $2,520.96	Facility		$905.28	$2,520.96	$2,520.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $622.99 / $1,842.40 / $2,369.29	Professional		$622.99	$1,842.40	$2,369.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $958.30 / $958.30 / $958.30	Professional		$958.30	$958.30	$958.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $883.82 / $2,374.57 / $2,374.57	Professional		$883.82	$2,374.57	$2,374.57
United Facility/Professional Professional Modifier Low / Median / High Price $503.30 / $1,145.80 / $2,008.59	Professional		$503.30	$1,145.80	$2,008.59