Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.15 / $460.15 / $460.15	Facility		$460.15	$460.15	$460.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $460.15 / $493.93	Professional		$388.67	$460.15	$493.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.82 / $821.69 / $1,643.39	Professional		$411.82	$821.69	$1,643.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.42 / $1,614.30 / $2,603.80	Facility		$1,381.42	$1,614.30	$2,603.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.08 / $1,146.57 / $2,194.75	Professional		$842.08	$1,146.57	$2,194.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $460.15 / $582.07 / $843.40	Facility		$460.15	$582.07	$843.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $388.67 / $610.60 / $843.40	Facility		$388.67	$610.60	$843.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.29 / $951.06 / $2,352.82	Professional		$550.29	$951.06	$2,352.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $540.87	Professional		$50.00	$70.00	$540.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $460.15 / $582.07 / $843.40	Facility		$460.15	$582.07	$843.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.35 / $1,150.08 / $1,383.62	Professional		$831.35	$1,150.08	$1,383.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,936.16 / $1,936.16 / $1,936.16	Facility		$1,936.16	$1,936.16	$1,936.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $490.21 / $2,072.19 / $5,676.00	Professional		$490.21	$2,072.19	$5,676.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.83 / $1,574.83 / $1,574.83	Professional		$1,574.83	$1,574.83	$1,574.83
United Facility/Professional Professional Modifier Low / Median / High Price $497.33 / $953.21 / $1,600.11	Professional		$497.33	$953.21	$1,600.11