Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.56 / $1,831.02 / $4,947.46	Facility		$249.56	$1,831.02	$4,947.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $1,075.58 / $1,990.99	Professional		$179.91	$1,075.58	$1,990.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.13 / $2,117.96 / $8,326.51	Professional		$350.13	$2,117.96	$8,326.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,779.30 / $4,416.41 / $7,123.51	Facility		$3,779.30	$4,416.41	$7,123.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.13 / $913.32 / $5,828.33	Professional		$403.13	$913.32	$5,828.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $215.33 / $429.94 / $2,817.42	Facility		$215.33	$429.94	$2,817.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.68 / $1,368.00 / $2,817.42	Facility		$229.68	$1,368.00	$2,817.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,527.69 / $5,193.66 / $12,542.72	Professional		$2,527.69	$5,193.66	$12,542.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,260.83 / $3,212.66	Professional		$85.00	$1,260.83	$3,212.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $215.33 / $429.94 / $2,817.42	Facility		$215.33	$429.94	$2,817.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.39 / $1,443.48 / $4,557.16	Professional		$467.39	$1,443.48	$4,557.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,463.84 / $2,463.84 / $2,463.84	Facility		$2,463.84	$2,463.84	$2,463.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $377.76 / $5,174.84 / $12,542.72	Professional		$377.76	$5,174.84	$12,542.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.14 / $8,117.73 / $9,747.86	Professional		$1,360.14	$8,117.73	$9,747.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,967.79 / $6,045.22 / $10,419.27	Professional		$1,967.79	$6,045.22	$10,419.27