Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.53 / $1,175.53 / $4,828.84	Facility		$1,175.53	$1,175.53	$4,828.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.07 / $1,175.53 / $1,270.80	Professional		$986.07	$1,175.53	$1,270.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.58 / $1,731.31 / $5,101.84	Professional		$1,049.58	$1,731.31	$5,101.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,033.17 / $3,544.50 / $5,437.35	Facility		$3,033.17	$3,544.50	$5,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.12 / $2,725.09 / $3,763.96	Professional		$1,491.12	$2,725.09	$3,763.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,024.80 / $1,229.76 / $1,959.53	Facility		$1,024.80	$1,229.76	$1,959.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,024.80 / $1,232.16 / $2,203.32	Facility		$1,024.80	$1,232.16	$2,203.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,272.53 / $2,272.38 / $7,248.35	Professional		$1,272.53	$2,272.38	$7,248.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $4,088.69	Professional		$58.40	$70.00	$4,088.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,024.80 / $1,229.76 / $1,959.53	Facility		$1,024.80	$1,229.76	$1,959.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,522.78 / $2,732.72 / $3,832.82	Professional		$1,522.78	$2,732.72	$3,832.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,363.47 / $5,363.47 / $5,363.47	Facility		$5,363.47	$5,363.47	$5,363.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,956.11 / $5,257.85 / $7,248.35	Professional		$1,956.11	$5,257.85	$7,248.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.14 / $1,024.14 / $1,024.14	Professional		$1,024.14	$1,024.14	$1,024.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.18 / $5,595.41 / $5,595.41	Professional		$1,280.18	$5,595.41	$5,595.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.99 / $2,197.77 / $3,716.54	Professional		$1,224.99	$2,197.77	$3,716.54