Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.19 / $707.46 / $2,116.50	Facility		$615.19	$707.46	$2,116.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.58 / $606.29 / $660.19	Professional		$495.58	$606.29	$660.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.28 / $812.93 / $2,671.14	Professional		$549.28	$812.93	$2,671.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,704.92 / $1,992.33 / $3,056.29	Facility		$1,704.92	$1,992.33	$3,056.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.59 / $1,531.85 / $1,948.68	Professional		$768.59	$1,531.85	$1,948.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.99 / $658.84 / $1,025.35	Facility		$560.99	$658.84	$1,025.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.24 / $660.19 / $1,107.33	Facility		$534.24	$660.19	$1,107.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.57 / $1,180.49 / $3,792.87	Professional		$655.57	$1,180.49	$3,792.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $2,044.56	Professional		$58.40	$70.00	$2,044.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $560.99 / $658.84 / $1,025.35	Facility		$560.99	$658.84	$1,025.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $797.28 / $1,430.76 / $2,006.74	Professional		$797.28	$1,430.76	$2,006.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,808.14 / $2,808.14 / $2,808.14	Facility		$2,808.14	$2,808.14	$2,808.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $948.49 / $2,633.54 / $3,792.87	Professional		$948.49	$2,633.54	$3,792.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $706.96 / $706.96 / $706.96	Professional		$706.96	$706.96	$706.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $883.70 / $3,145.34 / $3,145.34	Professional		$883.70	$3,145.34	$3,145.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,356.71 / $1,356.71 / $1,749.45	Facility		$1,356.71	$1,356.71	$1,749.45
United Facility/Professional Professional Modifier Low / Median / High Price $616.72 / $1,098.71 / $1,874.89	Professional		$616.72	$1,098.71	$1,874.89