Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $822.45 / $1,177.52	Facility		$200.00	$822.45	$1,177.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.50 / $822.45 / $1,177.52	Professional		$571.50	$822.45	$1,177.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.45 / $1,059.71 / $3,309.20	Professional		$519.45	$1,059.71	$3,309.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.36 / $1,753.30 / $2,689.60	Facility		$1,500.36	$1,753.30	$2,689.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.18 / $2,483.57 / $2,822.24	Professional		$687.18	$2,483.57	$2,822.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $515.85 / $623.34 / $1,016.13	Facility		$515.85	$623.34	$1,016.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.34 / $628.01 / $1,093.48	Facility		$523.34	$628.01	$1,093.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $565.16 / $1,243.92 / $3,419.43	Professional		$565.16	$1,243.92	$3,419.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $471.48 / $1,037.86	Professional		$178.61	$471.48	$1,037.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $515.85 / $628.01 / $1,046.68	Facility		$515.85	$628.01	$1,046.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $1,329.13 / $2,362.15	Professional		$402.71	$1,329.13	$2,362.15
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 $855.16 / $2,615.15 / $3,419.43	Professional		$855.16	$2,615.15	$3,419.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,793.15 / $1,793.15 / $1,793.15	Professional		$1,793.15	$1,793.15	$1,793.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.97 / $3,410.27 / $3,410.27	Professional		$1,747.97	$3,410.27	$3,410.27
United Facility/Professional Professional Modifier Low / Median / High Price $561.37 / $1,126.71 / $2,320.07	Professional		$561.37	$1,126.71	$2,320.07