Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.08 / $3,524.95 / $4,755.89	Facility		$886.08	$3,524.95	$4,755.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.67 / $912.32 / $1,016.53	Professional		$748.67	$912.32	$1,016.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.80 / $1,365.11 / $3,843.71	Professional		$770.80	$1,365.11	$3,843.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,242.89 / $2,620.98 / $4,020.67	Facility		$2,242.89	$2,620.98	$4,020.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.05 / $2,015.18 / $2,742.38	Professional		$1,107.05	$2,015.18	$2,742.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $932.00 / $1,478.13	Facility		$776.00	$932.00	$1,478.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $757.83 / $950.95 / $1,478.13	Facility		$757.83	$950.95	$1,478.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.10 / $1,524.82 / $5,462.08	Professional		$847.10	$1,524.82	$5,462.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $2,178.00	Professional		$58.40	$70.00	$2,178.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $922.50 / $1,478.13	Facility		$776.00	$922.50	$1,478.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,147.14 / $2,058.60 / $2,887.32	Professional		$1,147.14	$2,058.60	$2,887.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,040.38 / $4,040.38 / $4,040.38	Facility		$4,040.38	$4,040.38	$4,040.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,473.73 / $3,872.45 / $5,462.08	Professional		$1,473.73	$3,872.45	$5,462.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $778.79 / $778.79 / $778.79	Professional		$778.79	$778.79	$778.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.67 / $4,137.75 / $4,137.75	Professional		$1,083.67	$4,137.75	$4,137.75
United Facility/Professional Professional Modifier Low / Median / High Price $757.83 / $1,432.55 / $2,743.24	Professional		$757.83	$1,432.55	$2,743.24