Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.03 / $4,295.22 / $4,295.22	Facility		$1,255.03	$4,295.22	$4,295.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.01 / $1,168.90 / $1,493.65	Professional		$891.01	$1,168.90	$1,493.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.87 / $1,445.52 / $3,678.95	Professional		$915.87	$1,445.52	$3,678.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,047.59 / $3,561.35 / $5,463.20	Facility		$3,047.59	$3,561.35	$5,463.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.25 / $2,599.76 / $3,843.31	Professional		$1,116.25	$2,599.76	$3,843.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $962.13 / $1,225.45 / $2,122.00	Facility		$962.13	$1,225.45	$2,122.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $974.43 / $1,225.45 / $2,302.92	Facility		$974.43	$1,225.45	$2,302.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $963.32 / $1,607.03 / $8,114.99	Professional		$963.32	$1,607.03	$8,114.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $672.70 / $1,131.15 / $2,363.55	Professional		$672.70	$1,131.15	$2,363.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $962.13 / $1,217.05 / $2,122.00	Facility		$962.13	$1,217.05	$2,122.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,825.56 / $2,643.35 / $3,806.00	Professional		$1,825.56	$2,643.35	$3,806.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $2,324.35 / $5,237.81	Facility		$1,336.88	$2,324.35	$5,237.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.24 / $4,980.38 / $8,114.99	Professional		$1,238.24	$4,980.38	$8,114.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.55 / $1,428.55 / $1,428.55	Professional		$1,428.55	$1,428.55	$1,428.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.89 / $1,820.48 / $4,076.02	Professional		$1,294.89	$1,820.48	$4,076.02
United Facility/Professional Professional Modifier Low / Median / High Price $950.79 / $1,459.34 / $3,412.88	Professional		$950.79	$1,459.34	$3,412.88