Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $787.79 / $905.90	Facility		$200.00	$787.79	$905.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.03 / $491.51 / $1,069.00	Professional		$393.03	$491.51	$1,069.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.46 / $948.07 / $3,021.34	Professional		$377.46	$948.07	$3,021.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.60 / $1,228.89 / $1,633.29	Facility		$1,051.60	$1,228.89	$1,633.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.78 / $1,360.01 / $1,545.46	Professional		$534.78	$1,360.01	$1,545.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $393.03 / $615.13 / $905.90	Facility		$393.03	$615.13	$905.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $393.03 / $743.17 / $1,401.97	Facility		$393.03	$743.17	$1,401.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.78 / $1,239.09 / $4,246.14	Professional		$541.78	$1,239.09	$4,246.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $253.01 / $666.59	Professional		$107.97	$253.01	$666.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $393.03 / $629.75 / $905.90	Facility		$393.03	$629.75	$905.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $731.25 / $1,095.53 / $1,644.50	Professional		$731.25	$1,095.53	$1,644.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $923.88 / $3,637.60 / $3,637.60	Facility		$923.88	$3,637.60	$3,637.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $572.79 / $2,157.00 / $4,246.14	Professional		$572.79	$2,157.00	$4,246.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.49 / $1,038.49 / $1,038.49	Professional		$1,038.49	$1,038.49	$1,038.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.15 / $2,423.37 / $2,785.39	Professional		$2,201.15	$2,423.37	$2,785.39
United Facility/Professional Facility Modifier Low / Median / High Price $830.81 / $830.81 / $830.81	Facility		$830.81	$830.81	$830.81
United Facility/Professional Professional Modifier Low / Median / High Price $517.67 / $1,096.83 / $1,961.79	Professional		$517.67	$1,096.83	$1,961.79