Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.37 / $1,894.00 / $6,565.77	Facility		$243.37	$1,894.00	$6,565.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $1,042.51 / $2,927.29	Professional		$185.12	$1,042.51	$2,927.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.44 / $1,889.20 / $9,545.95	Professional		$341.44	$1,889.20	$9,545.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,076.91 / $5,932.77 / $9,569.35	Facility		$5,076.91	$5,932.77	$9,569.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.13 / $885.60 / $6,834.36	Professional		$369.13	$885.60	$6,834.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.52 / $416.40 / $3,520.30	Facility		$208.52	$416.40	$3,520.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.43 / $1,449.00 / $3,520.30	Facility		$222.43	$1,449.00	$3,520.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,235.92 / $6,332.34 / $10,712.46	Professional		$2,235.92	$6,332.34	$10,712.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,670.82 / $4,248.28	Professional		$85.00	$1,670.82	$4,248.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.52 / $416.40 / $3,520.30	Facility		$208.52	$416.40	$3,520.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $451.22 / $1,911.45 / $6,034.58	Professional		$451.22	$1,911.45	$6,034.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,247.57 / $3,247.57 / $3,247.57	Facility		$3,247.57	$3,247.57	$3,247.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $367.29 / $6,635.31 / $13,644.24	Professional		$367.29	$6,635.31	$13,644.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.37 / $9,672.83 / $13,062.90	Professional		$1,322.37	$9,672.83	$13,062.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $2,235.92 / $6,312.70 / $9,354.28	Professional		$2,235.92	$6,312.70	$9,354.28