Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $286.63 / $387.10	Facility		$214.97	$286.63	$387.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.28 / $329.04 / $439.40	Professional		$236.28	$329.04	$439.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $399.08 / $1,271.07	Professional		$278.27	$399.08	$1,271.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,229.13 / $1,436.33 / $1,909.01	Facility		$1,229.13	$1,436.33	$1,909.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $600.02 / $851.36	Professional		$418.11	$600.02	$851.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.63 / $404.70 / $811.95	Facility		$286.63	$404.70	$811.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.63 / $408.42 / $811.95	Facility		$286.63	$408.42	$811.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $439.62 / $871.50 / $2,735.19	Professional		$439.62	$871.50	$2,735.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $434.25 / $974.22	Professional		$265.16	$434.25	$974.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.63 / $405.10 / $811.95	Facility		$286.63	$405.10	$811.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $603.87 / $1,071.58 / $1,491.41	Professional		$603.87	$1,071.58	$1,491.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $766.63 / $2,056.56	Facility		$547.66	$766.63	$2,056.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $1,995.20 / $2,735.19	Professional		$418.11	$1,995.20	$2,735.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $360.65 / $1,087.73 / $1,260.77	Professional		$360.65	$1,087.73	$1,260.77
United Facility/Professional Professional Modifier Low / Median / High Price $427.70 / $798.32 / $1,496.40	Professional		$427.70	$798.32	$1,496.40