Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $625.33 / $893.79	Facility		$200.00	$625.33	$893.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.87 / $625.33 / $893.79	Professional		$435.87	$625.33	$893.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.11 / $818.98 / $2,514.79	Professional		$392.11	$818.98	$2,514.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.42 / $1,337.35 / $2,051.53	Facility		$1,144.42	$1,337.35	$2,051.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.92 / $1,888.81 / $2,146.38	Professional		$518.92	$1,888.81	$2,146.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $470.53 / $764.14	Facility		$392.94	$470.53	$764.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.24 / $476.69 / $832.42	Facility		$397.24	$476.69	$832.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $422.49 / $938.48 / $3,136.59	Professional		$422.49	$938.48	$3,136.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.73 / $353.89 / $779.49	Professional		$133.73	$353.89	$779.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $476.69 / $794.48	Facility		$392.94	$476.69	$794.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $280.56 / $1,010.45 / $1,796.47	Professional		$280.56	$1,010.45	$1,796.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,563.56 / $5,563.56 / $5,563.56	Facility		$5,563.56	$5,563.56	$5,563.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $625.73 / $1,973.00 / $3,136.59	Professional		$625.73	$1,973.00	$3,136.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.68 / $1,362.68 / $1,362.68	Professional		$1,362.68	$1,362.68	$1,362.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.31 / $2,593.60 / $2,593.60	Professional		$1,310.31	$2,593.60	$2,593.60
United Facility/Professional Professional Modifier Low / Median / High Price $422.49 / $777.30 / $1,861.33	Professional		$422.49	$777.30	$1,861.33