Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.17 / $535.17 / $1,037.55	Facility		$535.17	$535.17	$1,037.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $314.23 / $535.17	Professional		$82.29	$314.23	$535.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $331.81 / $865.38	Professional		$95.67	$331.81	$865.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.83 / $875.07 / $1,342.38	Facility		$748.83	$875.07	$1,342.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $783.46 / $931.63	Professional		$468.00	$783.46	$931.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $373.09 / $749.25	Facility		$157.47	$373.09	$749.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $348.87 / $818.83	Facility		$149.56	$348.87	$818.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $146.60 / $1,429.87	Professional		$82.57	$146.60	$1,429.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $536.17 / $682.89	Professional		$58.40	$536.17	$682.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $373.09 / $749.25	Facility		$138.00	$373.09	$749.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $659.44 / $919.60	Professional		$194.40	$659.44	$919.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $561.47 / $1,265.57	Facility		$370.00	$561.47	$1,265.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.57 / $1,168.10 / $1,429.87	Professional		$462.57	$1,168.10	$1,429.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $1,856.22 / $1,856.22	Professional		$1,249.32	$1,856.22	$1,856.22
United Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $156.31 / $358.55	Professional		$82.67	$156.31	$358.55