Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Facility		$2,326.37	$2,326.37	$2,326.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Professional		$2,326.37	$2,326.37	$2,326.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.26 / $237.38 / $246.21	Facility		$204.26	$237.38	$246.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $355.79 / $2,280.76	Professional		$110.04	$355.79	$2,280.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $5,200.17 / $7,433.30	Facility		$2,554.44	$5,200.17	$7,433.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $218.16 / $2,728.13	Professional		$191.98	$218.16	$2,728.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $219.56 / $2,736.91	Facility		$114.41	$219.56	$2,736.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $2,326.37 / $2,736.91	Facility		$114.41	$2,326.37	$2,736.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,654.57 / $3,758.69	Professional		$2,349.17	$2,654.57	$3,758.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $8,185.00	Professional		$50.00	$65.00	$8,185.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $219.56 / $2,736.91	Facility		$114.41	$219.56	$2,736.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $243.94 / $338.80	Professional		$157.41	$243.94	$338.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,271.25 / $11,271.25 / $11,271.25	Facility		$11,271.25	$11,271.25	$11,271.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $384.16	Professional		$148.53	$148.53	$384.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,654.57 / $3,758.69	Professional		$2,349.17	$2,654.57	$3,758.69