Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.45 / $1,240.07 / $1,950.50	Facility		$489.45	$1,240.07	$1,950.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.65 / $1,240.07 / $8,684.79	Professional		$877.65	$1,240.07	$8,684.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,242.38	Professional		$1,000.00	$1,000.00	$4,242.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,841.23 / $3,320.20 / $5,093.28	Facility		$2,841.23	$3,320.20	$5,093.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.19 / $2,628.12 / $2,986.50	Professional		$1,302.19	$2,628.12	$2,986.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.63 / $1,219.53 / $1,245.16	Facility		$891.63	$1,219.53	$1,245.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $762.21 / $1,219.53 / $6,928.83	Facility		$762.21	$1,219.53	$6,928.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.94 / $797.90 / $2,434.98	Professional		$537.94	$797.90	$2,434.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,250.00 / $3,471.70	Professional		$85.00	$1,250.00	$3,471.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $891.63 / $1,219.53 / $1,245.16	Facility		$891.63	$1,219.53	$1,245.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.19 / $2,585.40 / $3,626.19	Professional		$741.19	$2,585.40	$3,626.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,105.06 / $2,105.06 / $6,928.83	Facility		$2,105.06	$2,105.06	$6,928.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $508.88 / $523.90 / $701.76	Professional		$508.88	$523.90	$701.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,064.42 / $5,064.42 / $5,064.42	Professional		$5,064.42	$5,064.42	$5,064.42
United Facility/Professional Professional Modifier Low / Median / High Price $506.40 / $628.87 / $2,434.98	Professional		$506.40	$628.87	$2,434.98