Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.65 / $988.65 / $3,176.48	Facility		$988.65	$988.65	$3,176.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.56 / $988.65 / $1,231.73	Professional		$820.56	$988.65	$1,231.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.72 / $1,765.45 / $3,616.70	Professional		$882.72	$1,765.45	$3,616.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,464.56 / $2,880.04 / $3,827.81	Facility		$2,464.56	$2,880.04	$3,827.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.07 / $2,274.71 / $2,584.90	Professional		$1,027.07	$2,274.71	$2,584.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $807.07 / $988.65 / $1,589.50	Facility		$807.07	$988.65	$1,589.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $798.60 / $1,127.88 / $2,372.76	Facility		$798.60	$1,127.88	$2,372.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,224.42 / $2,019.46 / $5,839.98	Professional		$1,224.42	$2,019.46	$5,839.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $578.86 / $1,528.04	Professional		$80.83	$578.86	$1,528.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $837.26 / $988.65 / $1,589.50	Facility		$837.26	$988.65	$1,589.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,532.40 / $2,014.60 / $2,900.32	Professional		$1,532.40	$2,014.60	$2,900.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,138.58 / $3,943.88 / $3,943.88	Facility		$2,138.58	$3,943.88	$3,943.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,026.51 / $3,849.44 / $5,839.98	Professional		$1,026.51	$3,849.44	$5,839.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.57 / $1,124.57 / $1,124.57	Professional		$1,124.57	$1,124.57	$1,124.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,233.48 / $4,594.43 / $4,594.43	Professional		$2,233.48	$4,594.43	$4,594.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.95 / $2,107.61 / $4,089.85	Professional		$1,186.95	$2,107.61	$4,089.85