Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.64 / $340.41 / $1,179.94	Facility		$334.64	$340.41	$1,179.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.99 / $336.12 / $493.52	Professional		$291.99	$336.12	$493.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.61 / $449.83 / $1,350.07	Professional		$290.61	$449.83	$1,350.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.54 / $974.05 / $1,494.22	Facility		$833.54	$974.05	$1,494.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $786.54 / $1,129.74	Professional		$373.28	$786.54	$1,129.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $347.16 / $602.35	Facility		$294.58	$347.16	$602.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $347.16 / $602.35	Facility		$290.27	$347.16	$602.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.51 / $980.30 / $7,560.00	Professional		$408.51	$980.30	$7,560.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $286.94 / $618.88	Professional		$176.55	$286.94	$618.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $347.16 / $622.00	Facility		$294.58	$347.16	$622.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $410.46 / $740.68 / $1,050.50	Professional		$410.46	$740.68	$1,050.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,421.46 / $1,421.46 / $1,421.46	Facility		$1,421.46	$1,421.46	$1,421.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $484.59 / $1,608.30 / $7,560.00	Professional		$484.59	$1,608.30	$7,560.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $673.94 / $1,588.64 / $1,617.74	Professional		$673.94	$1,588.64	$1,617.74
United Facility/Professional Professional Modifier Low / Median / High Price $383.86 / $678.73 / $1,241.90	Professional		$383.86	$678.73	$1,241.90