Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.77 / $619.36 / $864.01	Facility		$291.77	$619.36	$864.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.93 / $337.85 / $1,383.97	Professional		$271.93	$337.85	$1,383.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.69 / $504.53 / $1,025.29	Professional		$331.69	$504.53	$1,025.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.49 / $1,027.76 / $1,576.61	Facility		$879.49	$1,027.76	$1,576.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.64 / $802.73 / $1,140.23	Professional		$343.64	$802.73	$1,140.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $349.34 / $690.57	Facility		$265.48	$349.34	$690.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $356.99 / $690.57	Facility		$265.48	$356.99	$690.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.89 / $561.84 / $5,713.05	Professional		$357.89	$561.84	$5,713.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.73 / $486.28 / $687.29	Professional		$197.73	$486.28	$687.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $263.58 / $349.34 / $690.57	Facility		$263.58	$349.34	$690.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $624.72 / $789.59 / $1,136.74	Professional		$624.72	$789.59	$1,136.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $1,515.34	Facility		$386.44	$386.44	$1,515.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $387.07 / $1,702.55 / $5,713.05	Professional		$387.07	$1,702.55	$5,713.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $587.71 / $587.71 / $587.71	Professional		$587.71	$587.71	$587.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $598.88 / $981.30 / $981.30	Professional		$598.88	$981.30	$981.30
United Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $549.28 / $960.92	Professional		$356.20	$549.28	$960.92