Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $631.48 / $893.18	Facility		$200.00	$631.48	$893.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.80 / $631.48 / $2,417.31	Professional		$429.80	$631.48	$2,417.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.41 / $832.83 / $2,606.96	Professional		$407.41	$832.83	$2,606.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.08 / $1,298.39 / $1,991.76	Facility		$1,111.08	$1,298.39	$1,991.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.82 / $1,880.05 / $2,136.42	Professional		$519.82	$1,880.05	$2,136.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $396.97 / $626.82 / $875.76	Facility		$396.97	$626.82	$875.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $396.97 / $626.82 / $875.76	Facility		$396.97	$626.82	$875.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.09 / $1,008.27 / $14,247.44	Professional		$477.09	$1,008.27	$14,247.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.39 / $446.51 / $870.62	Professional		$255.39	$446.51	$870.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $396.97 / $626.82 / $889.13	Facility		$396.97	$626.82	$889.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $837.20 / $1,254.25 / $1,788.14	Professional		$837.20	$1,254.25	$1,788.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,983.52 / $3,983.52 / $3,983.52	Facility		$3,983.52	$3,983.52	$3,983.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $703.20 / $2,091.85 / $14,247.44	Professional		$703.20	$2,091.85	$14,247.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.94 / $2,581.59 / $2,581.59	Professional		$1,401.94	$2,581.59	$2,581.59
United Facility/Professional Professional Modifier Low / Median / High Price $456.35 / $948.47 / $1,855.07	Professional		$456.35	$948.47	$1,855.07