Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.40 / $432.33 / $1,502.99	Facility		$424.40	$432.33	$1,502.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.83 / $424.40 / $615.25	Professional		$364.83	$424.40	$615.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.93 / $571.29 / $1,727.08	Professional		$378.93	$571.29	$1,727.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,067.83 / $1,247.83 / $1,914.22	Facility		$1,067.83	$1,247.83	$1,914.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.53 / $1,006.19 / $1,436.95	Professional		$476.53	$1,006.19	$1,436.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.81 / $441.23 / $763.92	Facility		$374.81	$441.23	$763.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.38 / $441.23 / $763.92	Facility		$369.38	$441.23	$763.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.19 / $1,238.71 / $10,080.00	Professional		$516.19	$1,238.71	$10,080.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.81 / $411.25 / $893.02	Professional		$245.81	$411.25	$893.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $374.81 / $441.23 / $790.53	Facility		$374.81	$441.23	$790.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $522.64 / $941.04 / $1,337.60	Professional		$522.64	$941.04	$1,337.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,805.97 / $1,805.97 / $1,805.97	Facility		$1,805.97	$1,805.97	$1,805.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $615.24 / $2,032.25 / $10,080.00	Professional		$615.24	$2,032.25	$10,080.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.39 / $1,585.88 / $2,073.38	Professional		$851.39	$1,585.88	$2,073.38
United Facility/Professional Professional Modifier Low / Median / High Price $473.98 / $857.72 / $1,524.19	Professional		$473.98	$857.72	$1,524.19