Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.85 / $939.85 / $939.85	Facility		$939.85	$939.85	$939.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.93 / $960.24 / $1,140.08	Professional		$777.93	$960.24	$1,140.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.66 / $1,241.94 / $4,157.52	Professional		$358.66	$1,241.94	$4,157.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.03 / $2,757.89 / $4,230.67	Facility		$2,360.03	$2,757.89	$4,230.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.47 / $2,120.13 / $2,928.75	Professional		$1,200.47	$2,120.13	$2,928.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $822.99 / $968.43 / $1,566.79	Facility		$822.99	$968.43	$1,566.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $813.30 / $1,007.98 / $1,566.79	Facility		$813.30	$1,007.98	$1,566.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.10 / $1,559.70 / $5,795.70	Professional		$847.10	$1,559.70	$5,795.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $3,398.66	Professional		$58.40	$70.00	$3,398.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $822.99 / $970.51 / $1,566.79	Facility		$822.99	$970.51	$1,566.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,241.26 / $2,227.51 / $3,124.24	Professional		$1,241.26	$2,227.51	$3,124.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,371.92 / $4,371.92 / $4,371.92	Facility		$4,371.92	$4,371.92	$4,371.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,484.55 / $4,217.00 / $5,795.70	Professional		$1,484.55	$4,217.00	$5,795.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $746.51 / $746.51 / $746.51	Professional		$746.51	$746.51	$746.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $746.51 / $4,353.26 / $4,353.26	Professional		$746.51	$4,353.26	$4,353.26
United Facility/Professional Professional Modifier Low / Median / High Price $844.35 / $1,459.55 / $2,791.77	Professional		$844.35	$1,459.55	$2,791.77