Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $434.07 / $586.64	Facility		$200.00	$434.07	$586.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $434.07 / $1,826.23	Professional		$251.16	$434.07	$1,826.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.05 / $455.51 / $1,589.49	Professional		$280.05	$455.51	$1,589.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.18 / $899.07 / $1,418.30	Facility		$791.18	$899.07	$1,418.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.13 / $1,012.45 / $1,150.51	Professional		$404.13	$1,012.45	$1,150.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.16 / $333.73 / $588.84	Facility		$251.16	$333.73	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.16 / $356.04 / $3,338.03	Facility		$251.16	$356.04	$3,338.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $630.85 / $1,920.89	Professional		$330.20	$630.85	$1,920.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $216.68 / $502.05	Professional		$65.14	$216.68	$502.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $251.16 / $333.73 / $588.84	Facility		$251.16	$333.73	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $433.70 / $664.96 / $957.31	Professional		$433.70	$664.96	$957.31
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 $426.42 / $1,510.55 / $1,920.89	Professional		$426.42	$1,510.55	$1,920.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $768.74 / $768.74 / $768.74	Professional		$768.74	$768.74	$768.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $763.34 / $1,804.06 / $1,804.06	Professional		$763.34	$1,804.06	$1,804.06
United Facility/Professional Professional Modifier Low / Median / High Price $319.74 / $593.11 / $1,324.00	Professional		$319.74	$593.11	$1,324.00