Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.70 / $1,273.92 / $1,273.92	Facility		$446.70	$1,273.92	$1,273.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.08 / $414.08 / $553.80	Professional		$347.08	$414.08	$553.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $501.73 / $1,353.41	Professional		$349.50	$501.73	$1,353.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.71 / $1,093.05 / $1,676.76	Facility		$468.71	$1,093.05	$1,676.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.31 / $803.97 / $1,108.58	Professional		$413.31	$803.97	$1,108.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.94 / $446.70 / $701.17	Facility		$363.94	$446.70	$701.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.56 / $459.22 / $868.00	Facility		$374.56	$459.22	$868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $663.17 / $2,676.50	Professional		$376.32	$663.17	$2,676.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $332.76 / $665.53	Professional		$58.40	$332.76	$665.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $363.94 / $446.70 / $701.17	Facility		$363.94	$446.70	$701.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $680.40 / $993.89 / $1,363.07	Professional		$680.40	$993.89	$1,363.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $988.40 / $1,907.43	Facility		$210.00	$988.40	$1,907.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $455.37 / $1,779.12 / $2,676.50	Professional		$455.37	$1,779.12	$2,676.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $492.15 / $521.10 / $1,066.01	Professional		$492.15	$521.10	$1,066.01
United Facility/Professional Professional Modifier Low / Median / High Price $369.35 / $570.35 / $1,300.96	Professional		$369.35	$570.35	$1,300.96