Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.77 / $758.77 / $758.77	Facility		$758.77	$758.77	$758.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.96 / $768.00 / $959.76	Professional		$658.96	$768.00	$959.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.47 / $1,002.66 / $3,298.75	Professional		$677.47	$1,002.66	$3,298.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,886.04 / $2,203.98 / $3,380.98	Facility		$1,886.04	$2,203.98	$3,380.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.13 / $1,694.54 / $2,341.01	Professional		$964.13	$1,694.54	$2,341.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $658.94 / $781.23 / $1,265.46	Facility		$658.94	$781.23	$1,265.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.60 / $806.19 / $1,356.71	Facility		$656.60	$806.19	$1,356.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.88 / $1,382.52 / $4,680.93	Professional		$759.88	$1,382.52	$4,680.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $2,718.58	Professional		$58.40	$70.00	$2,718.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $658.94 / $781.23 / $1,265.46	Facility		$658.94	$781.23	$1,265.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $984.67 / $1,767.05 / $2,478.40	Professional		$984.67	$1,767.05	$2,478.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,468.16 / $3,468.16 / $3,468.16	Facility		$3,468.16	$3,468.16	$3,468.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,145.93 / $3,349.50 / $4,680.93	Professional		$1,145.93	$3,349.50	$4,680.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $576.22 / $576.22 / $576.22	Professional		$576.22	$576.22	$576.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.05 / $3,479.39 / $3,479.39	Professional		$1,001.05	$3,479.39	$3,479.39
United Facility/Professional Professional Modifier Low / Median / High Price $759.88 / $1,239.67 / $2,295.87	Professional		$759.88	$1,239.67	$2,295.87