Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $3,388.44 / $6,606.93	Professional		$724.44	$3,388.44	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $5,370.32	Professional		$1,122.02	$2,187.76	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $16,982.44	Professional		$1,258.93	$3,630.78	$16,982.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $10,964.78	Professional		$1,445.44	$2,884.03	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,943.28 / $29,512.09	Professional		$3,388.44	$7,943.28	$29,512.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,365.16 / $13,182.57	Professional		$1,348.96	$4,365.16	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $19,498.45 / $28,183.83	Professional		$1,445.44	$19,498.45	$28,183.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $25,703.96	Professional		$2,691.53	$5,011.87	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $3,467.37 / $13,489.63	Professional		$933.25	$3,467.37	$13,489.63