Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.32 / $252.32 / $4,846.46	Facility		$252.32	$252.32	$4,846.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $247.68 / $319.16	Professional		$184.87	$247.68	$319.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $450.56 / $1,210.04	Professional		$274.83	$450.56	$1,210.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.47 / $719.22 / $1,103.30	Facility		$615.47	$719.22	$1,103.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.61 / $553.12 / $764.50	Professional		$326.61	$553.12	$764.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $252.32 / $427.79	Facility		$208.01	$252.32	$427.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.82 / $252.32 / $454.18	Facility		$197.82	$252.32	$454.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.86 / $752.70 / $1,557.41	Professional		$248.86	$752.70	$1,557.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $544.50	Professional		$58.40	$70.00	$544.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $252.32 / $427.79	Facility		$208.01	$252.32	$427.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.10 / $597.76 / $838.40	Professional		$333.10	$597.76	$838.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,173.23 / $1,173.23 / $1,173.23	Facility		$1,173.23	$1,173.23	$1,173.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.35 / $1,275.50 / $1,557.41	Professional		$408.35	$1,275.50	$1,557.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.53 / $246.53 / $246.53	Professional		$246.53	$246.53	$246.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $308.16 / $1,135.73 / $1,211.16	Professional		$308.16	$1,135.73	$1,211.16
United Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $584.35 / $1,596.15	Professional		$239.68	$584.35	$1,596.15