Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.86 / $624.35 / $1,011.56	Facility		$418.86	$624.35	$1,011.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.39 / $586.54 / $1,395.20	Professional		$466.39	$586.54	$1,395.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.47 / $1,316.93 / $3,021.59	Professional		$760.47	$1,316.93	$3,021.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,048.25 / $2,327.55 / $3,671.75	Facility		$2,048.25	$2,327.55	$3,671.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.95 / $1,361.23 / $1,546.85	Professional		$877.95	$1,361.23	$1,546.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $466.39 / $715.39 / $929.73	Facility		$466.39	$715.39	$929.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.39 / $715.39 / $1,111.50	Facility		$466.39	$715.39	$1,111.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,854.80	Professional		$883.24	$883.24	$1,854.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $1,096.26	Professional		$55.00	$85.00	$1,096.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $466.39 / $715.39 / $1,286.78	Facility		$466.39	$715.39	$1,286.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $854.29 / $1,873.40 / $2,612.50	Professional		$854.29	$1,873.40	$2,612.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,203.77 / $4,203.77 / $4,203.77	Facility		$4,203.77	$4,203.77	$4,203.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,404.61 / $3,835.90 / $4,860.70	Professional		$3,404.61	$3,835.90	$4,860.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $221.85 / $221.85 / $234.90	Professional		$221.85	$221.85	$234.90
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,148.21	Professional		$883.24	$883.24	$1,148.21