Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.93 / $398.93 / $398.93	Facility		$398.93	$398.93	$398.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.02 / $398.93 / $437.92	Professional		$311.02	$398.93	$437.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.19 / $620.99 / $1,716.51	Professional		$356.19	$620.99	$1,716.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $994.84 / $1,162.55 / $1,783.37	Facility		$994.84	$1,162.55	$1,783.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.51 / $893.66 / $1,234.03	Professional		$498.51	$893.66	$1,234.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $345.25 / $403.28 / $630.42	Facility		$345.25	$403.28	$630.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.07 / $409.60 / $718.07	Facility		$336.07	$409.60	$718.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $691.42 / $2,332.12	Professional		$395.25	$691.42	$2,332.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $1,359.07	Professional		$58.40	$70.00	$1,359.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $345.25 / $403.28 / $630.42	Facility		$345.25	$403.28	$630.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.32 / $919.39 / $1,289.51	Professional		$512.32	$919.39	$1,289.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,804.47 / $1,804.47 / $1,804.47	Facility		$1,804.47	$1,804.47	$1,804.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $643.55 / $1,710.20 / $2,332.12	Professional		$643.55	$1,710.20	$2,332.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $323.61 / $323.61	Professional		$323.61	$323.61	$323.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $1,834.94 / $1,834.94	Professional		$323.61	$1,834.94	$1,834.94
United Facility/Professional Professional Modifier Low / Median / High Price $392.13 / $673.25 / $1,436.87	Professional		$392.13	$673.25	$1,436.87