Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.90 / $1,289.90 / $1,289.90	Facility		$1,289.90	$1,289.90	$1,289.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.44 / $1,083.81 / $7,372.80	Professional		$958.44	$1,083.81	$7,372.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,412.80	Professional		$1,000.00	$1,000.00	$4,412.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,955.67 / $3,453.94 / $5,298.43	Facility		$2,955.67	$3,453.94	$5,298.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.64 / $2,733.65 / $3,106.43	Professional		$1,354.64	$2,733.65	$3,106.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $927.38 / $1,268.35 / $1,294.93	Facility		$927.38	$1,268.35	$1,294.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $792.84 / $1,268.35 / $7,207.17	Facility		$792.84	$1,268.35	$7,207.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $830.02 / $2,532.75	Professional		$559.54	$830.02	$2,532.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,250.00 / $3,610.43	Professional		$85.00	$1,250.00	$3,610.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $927.38 / $1,268.35 / $1,294.93	Facility		$927.38	$1,268.35	$1,294.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,522.68 / $2,749.76 / $3,834.60	Professional		$1,522.68	$2,749.76	$3,834.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,189.80 / $2,189.80 / $7,207.17	Facility		$2,189.80	$2,189.80	$7,207.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $529.29 / $544.94 / $544.94	Professional		$529.29	$544.94	$544.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,267.60 / $5,267.60 / $5,267.60	Professional		$5,267.60	$5,267.60	$5,267.60
United Facility/Professional Professional Modifier Low / Median / High Price $526.69 / $780.60 / $2,532.75	Professional		$526.69	$780.60	$2,532.75