Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $468.98 / $629.29	Facility		$200.00	$468.98	$629.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $468.98 / $2,005.10	Professional		$270.70	$468.98	$2,005.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.57 / $497.50 / $1,703.19	Professional		$302.57	$497.50	$1,703.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.95 / $963.58 / $1,520.07	Facility		$847.95	$963.58	$1,520.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.51 / $1,081.93 / $1,229.46	Professional		$433.51	$1,081.93	$1,229.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $335.63 / $641.32	Facility		$216.00	$335.63	$641.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $358.00 / $1,376.32	Facility		$216.00	$358.00	$1,376.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $634.41 / $2,065.29	Professional		$279.69	$634.41	$2,065.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $247.64 / $564.07	Professional		$65.00	$247.64	$564.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $335.63 / $641.32	Facility		$216.00	$335.63	$641.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $390.68 / $714.65 / $1,028.84	Professional		$390.68	$714.65	$1,028.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,653.45 / $1,653.45 / $1,653.45	Facility		$1,653.45	$1,653.45	$1,653.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $455.68 / $1,650.80 / $2,065.29	Professional		$455.68	$1,650.80	$2,065.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $823.73 / $823.73 / $823.73	Professional		$823.73	$823.73	$823.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $816.60 / $1,927.86 / $1,927.86	Professional		$816.60	$1,927.86	$1,927.86
United Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $600.55 / $1,587.61	Professional		$279.69	$600.55	$1,587.61