Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $618.51 / $826.61	Facility		$200.00	$618.51	$826.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.95 / $618.51 / $2,663.20	Professional		$356.95	$618.51	$2,663.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.04 / $662.34 / $2,247.48	Professional		$399.04	$662.34	$2,247.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,114.69 / $1,266.69 / $1,998.22	Facility		$1,114.69	$1,266.69	$1,998.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.42 / $1,422.23 / $1,616.18	Professional		$569.42	$1,422.23	$1,616.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $440.86 / $852.59	Facility		$129.60	$440.86	$852.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $470.25 / $3,338.03	Facility		$129.60	$470.25	$3,338.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.52 / $846.82 / $2,725.60	Professional		$437.52	$846.82	$2,725.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $336.24 / $764.38	Professional		$65.00	$336.24	$764.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $440.86 / $852.59	Facility		$129.60	$440.86	$852.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $548.88 / $938.67 / $1,351.36	Professional		$548.88	$938.67	$1,351.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,042.45 / $4,042.45 / $4,042.45	Facility		$4,042.45	$4,042.45	$4,042.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $599.01 / $2,192.00 / $2,725.60	Professional		$599.01	$2,192.00	$2,725.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.98 / $1,086.98 / $1,086.98	Professional		$1,086.98	$1,086.98	$1,086.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.08 / $2,534.23 / $2,534.23	Professional		$1,060.08	$2,534.23	$2,534.23
United Facility/Professional Professional Modifier Low / Median / High Price $437.52 / $797.45 / $1,921.29	Professional		$437.52	$797.45	$1,921.29