Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.37 / $723.37 / $2,644.07	Facility		$723.37	$723.37	$2,644.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.93 / $723.37 / $1,268.06	Professional		$461.93	$723.37	$1,268.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.93 / $955.88 / $2,658.68	Professional		$392.93	$955.88	$2,658.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,912.18 / $2,234.53 / $3,427.83	Facility		$1,912.18	$2,234.53	$3,427.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.87 / $1,780.37 / $2,352.03	Professional		$764.87	$1,780.37	$2,352.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $723.37 / $1,106.76	Facility		$377.91	$723.37	$1,106.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.75 / $723.37 / $1,342.64	Facility		$445.75	$723.37	$1,342.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.35 / $1,355.89 / $4,008.69	Professional		$477.35	$1,355.89	$4,008.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.95 / $442.01 / $1,262.87	Professional		$160.95	$442.01	$1,262.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $723.37 / $1,175.09	Facility		$377.91	$723.37	$1,175.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $535.89 / $1,624.30 / $2,302.07	Professional		$535.89	$1,624.30	$2,302.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,221.38 / $3,221.38 / $3,221.38	Facility		$3,221.38	$3,221.38	$3,221.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $893.16 / $3,012.89 / $4,008.69	Professional		$893.16	$3,012.89	$4,008.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $772.75 / $772.75 / $772.75	Professional		$772.75	$772.75	$772.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.77 / $2,304.36 / $3,595.96	Professional		$1,213.77	$2,304.36	$3,595.96
United Facility/Professional Professional Modifier Low / Median / High Price $492.65 / $1,130.25 / $2,175.69	Professional		$492.65	$1,130.25	$2,175.69