Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.85 / $1,413.34 / $1,971.61	Facility		$665.85	$1,413.34	$1,971.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.76 / $753.91 / $3,662.25	Professional		$618.76	$753.91	$3,662.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.80 / $1,169.35 / $2,219.51	Professional		$767.80	$1,169.35	$2,219.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,010.40 / $2,349.31 / $3,603.90	Facility		$2,010.40	$2,349.31	$3,603.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.57 / $1,867.21 / $2,160.88	Professional		$823.57	$1,867.21	$2,160.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $614.48 / $797.51 / $1,578.34	Facility		$614.48	$797.51	$1,578.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.48 / $798.86 / $1,578.34	Facility		$614.48	$798.86	$1,578.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.04 / $1,423.51 / $7,032.99	Professional		$815.04	$1,423.51	$7,032.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $453.86 / $1,092.39 / $1,627.27	Professional		$453.86	$1,092.39	$1,627.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $601.90 / $797.51 / $1,578.34	Facility		$601.90	$797.51	$1,578.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,424.82 / $1,800.83 / $2,511.30	Professional		$1,424.82	$1,800.83	$2,511.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $3,456.04	Facility		$883.74	$883.74	$3,456.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $930.93 / $3,881.85 / $7,032.99	Professional		$930.93	$3,881.85	$7,032.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.84 / $1,342.84 / $1,342.84	Professional		$1,342.84	$1,342.84	$1,342.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.84 / $2,242.03 / $2,242.03	Professional		$1,342.84	$2,242.03	$2,242.03
United Facility/Professional Professional Modifier Low / Median / High Price $817.37 / $1,295.71 / $2,098.21	Professional		$817.37	$1,295.71	$2,098.21