Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.58 / $1,920.99 / $1,920.99	Facility		$557.58	$1,920.99	$1,920.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $523.37 / $666.91	Professional		$414.74	$523.37	$666.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.29 / $667.11 / $1,685.78	Professional		$447.29	$667.11	$1,685.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,358.89 / $1,587.97 / $2,435.98	Facility		$1,358.89	$1,587.97	$2,435.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.72 / $1,165.57 / $1,723.10	Professional		$511.72	$1,165.57	$1,723.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $473.94 / $559.39 / $940.61	Facility		$473.94	$559.39	$940.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.48 / $560.24 / $1,040.39	Facility		$477.48	$560.24	$1,040.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.57 / $796.06 / $3,786.99	Professional		$487.57	$796.06	$3,786.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $305.59 / $515.63 / $1,087.29	Professional		$305.59	$515.63	$1,087.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.98 / $557.58 / $940.61	Facility		$472.98	$557.58	$940.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $859.05 / $1,190.89 / $1,698.40	Professional		$859.05	$1,190.89	$1,698.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $591.85 / $1,039.54 / $2,337.33	Facility		$591.85	$1,039.54	$2,337.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $581.38 / $2,336.00 / $3,786.99	Professional		$581.38	$2,336.00	$3,786.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $632.99 / $919.81 / $1,813.67	Professional		$632.99	$919.81	$1,813.67
United Facility/Professional Professional Modifier Low / Median / High Price $476.36 / $735.82 / $1,561.90	Professional		$476.36	$735.82	$1,561.90