Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.74 / $1,849.33 / $1,849.33	Facility		$534.74	$1,849.33	$1,849.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.43 / $501.15 / $641.78	Professional		$395.43	$501.15	$641.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.93 / $639.78 / $1,618.82	Professional		$424.93	$639.78	$1,618.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,305.72 / $1,525.84 / $2,340.67	Facility		$1,305.72	$1,525.84	$2,340.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.17 / $1,122.33 / $1,659.20	Professional		$490.17	$1,122.33	$1,659.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $455.45 / $534.74 / $902.00	Facility		$455.45	$534.74	$902.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.85 / $534.74 / $991.54	Facility		$456.85	$534.74	$991.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.93 / $757.91 / $3,624.69	Professional		$465.93	$757.91	$3,624.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.24 / $486.13 / $1,010.24	Professional		$286.24	$486.13	$1,010.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $454.53 / $533.70 / $902.00	Facility		$454.53	$533.70	$902.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $816.61 / $1,146.92 / $1,635.70	Professional		$816.61	$1,146.92	$1,635.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $1,000.76 / $2,251.03	Facility		$567.86	$1,000.76	$2,251.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $553.28 / $2,232.50 / $3,624.69	Professional		$553.28	$2,232.50	$3,624.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $875.79 / $1,741.63	Professional		$608.29	$875.79	$1,741.63
United Facility/Professional Professional Modifier Low / Median / High Price $454.89 / $708.54 / $1,645.10	Professional		$454.89	$708.54	$1,645.10