Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $631.26 / $1,262.51	Facility		$274.52	$631.26	$1,262.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $355.61 / $1,785.00	Professional		$274.52	$355.61	$1,785.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.85 / $831.35 / $1,778.61	Professional		$450.85	$831.35	$1,778.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $1,666.05 / $2,628.22	Facility		$440.51	$1,666.05	$2,628.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $908.40 / $1,032.28	Professional		$440.51	$908.40	$1,032.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.73 / $370.28 / $681.79	Facility		$288.73	$370.28	$681.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.36 / $379.37 / $681.79	Facility		$331.36	$379.37	$681.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $833.20	Professional		$520.75	$520.75	$833.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,433.49	Professional		$50.00	$70.00	$1,433.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $288.73 / $370.28 / $857.85	Facility		$288.73	$370.28	$857.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $1,078.28 / $1,587.57	Professional		$21.72	$1,078.28	$1,587.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,474.44 / $2,474.44 / $2,474.44	Facility		$2,474.44	$2,474.44	$2,474.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $2,004.08 / $3,033.62	Professional		$440.51	$2,004.08	$3,033.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $665.81 / $665.81 / $665.81	Professional		$665.81	$665.81	$665.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $556.63 / $2,143.81 / $2,143.81	Professional		$556.63	$2,143.81	$2,143.81
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $713.01	Professional		$520.75	$520.75	$713.01