Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $935.45 / $1,439.16	Facility		$461.62	$935.45	$1,439.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $869.32	Professional		$461.62	$461.62	$869.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $887.48 / $1,031.40 / $1,069.78	Facility		$887.48	$1,031.40	$1,069.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $452.57 / $497.82	Professional		$452.57	$452.57	$497.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $1,164.58 / $1,664.70	Facility		$506.88	$1,164.58	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.78 / $1,054.97 / $1,198.83	Professional		$488.78	$1,054.97	$1,198.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $167.21 / $479.72 / $563.90	Facility		$167.21	$479.72	$563.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.21 / $461.62 / $563.90	Facility		$167.21	$461.62	$563.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $511.40 / $724.11	Professional		$452.57	$511.40	$724.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $479.72	Professional		$65.00	$85.00	$479.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $167.21 / $479.72 / $563.90	Facility		$167.21	$479.72	$563.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.73 / $376.89 / $833.58	Professional		$240.73	$376.89	$833.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,036.55 / $2,036.55 / $2,036.55	Facility		$2,036.55	$2,036.55	$2,036.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $673.53 / $673.53	Professional		$353.07	$673.53	$673.53
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $511.40 / $787.47	Professional		$452.57	$511.40	$787.47