Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $745.06 / $4,233.00	Facility		$183.48	$745.06	$4,233.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $251.58 / $323.88	Professional		$220.12	$251.58	$323.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.87 / $420.77 / $1,110.08	Professional		$237.87	$420.77	$1,110.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.58 / $728.70 / $1,117.83	Facility		$623.58	$728.70	$1,117.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $560.20 / $773.34	Professional		$321.30	$560.20	$773.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $256.85 / $419.29	Facility		$218.47	$256.85	$419.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.67 / $259.02 / $452.94	Facility		$210.67	$259.02	$452.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.37 / $589.51 / $1,550.91	Professional		$283.37	$589.51	$1,550.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $517.05	Professional		$58.40	$70.00	$517.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $258.41 / $419.29	Facility		$218.47	$258.41	$419.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $330.95 / $593.90 / $832.99	Professional		$330.95	$593.90	$832.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,165.65 / $1,165.65 / $1,165.65	Facility		$1,165.65	$1,165.65	$1,165.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.58 / $1,118.59 / $1,550.91	Professional		$399.58	$1,118.59	$1,550.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $200.94 / $200.94	Professional		$200.94	$200.94	$200.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $1,150.26 / $1,150.26	Professional		$410.67	$1,150.26	$1,150.26
United Facility/Professional Professional Modifier Low / Median / High Price $283.37 / $518.24 / $949.13	Professional		$283.37	$518.24	$949.13