Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.06 / $1,084.06 / $1,084.06	Facility		$1,084.06	$1,084.06	$1,084.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.76 / $1,096.13 / $1,318.12	Professional		$890.76	$1,096.13	$1,318.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $1,432.51 / $4,122.14	Professional		$928.00	$1,432.51	$4,122.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,885.39 / $3,371.80 / $5,172.43	Facility		$2,885.39	$3,371.80	$5,172.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.16 / $2,757.80 / $3,580.57	Professional		$1,186.16	$2,757.80	$3,580.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $932.62 / $1,174.38 / $2,022.31	Facility		$932.62	$1,174.38	$2,022.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.30 / $1,188.95 / $2,222.92	Facility		$920.30	$1,188.95	$2,222.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,181.40 / $2,820.91 / $6,610.61	Professional		$1,181.40	$2,820.91	$6,610.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $392.36 / $1,382.82	Professional		$70.00	$392.36	$1,382.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $920.30 / $1,174.38 / $2,022.31	Facility		$920.30	$1,174.38	$2,022.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $519.77 / $2,271.50 / $3,191.31	Professional		$519.77	$2,271.50	$3,191.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,465.75 / $4,465.75 / $4,465.75	Facility		$4,465.75	$4,465.75	$4,465.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,531.64 / $5,092.75 / $6,610.61	Professional		$1,531.64	$5,092.75	$6,610.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,347.18 / $1,347.18 / $1,347.18	Professional		$1,347.18	$1,347.18	$1,347.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.98 / $5,646.02 / $5,646.02	Professional		$1,683.98	$5,646.02	$5,646.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.85 / $2,304.44 / $3,989.47	Professional		$1,148.85	$2,304.44	$3,989.47