Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $336.05 / $336.05	Facility		$336.05	$336.05	$336.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $336.05 / $821.74	Professional		$336.05	$336.05	$821.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $1,615.00 / $1,900.00	Professional		$637.50	$1,615.00	$1,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $2,048.00	Facility		$405.00	$405.00	$2,048.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $750.00 / $937.50	Professional		$405.00	$750.00	$937.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $336.05 / $604.89	Facility		$336.05	$336.05	$604.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $374.50 / $504.08	Facility		$336.05	$374.50	$504.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,446.12 / $1,446.12 / $1,446.12	Professional		$1,446.12	$1,446.12	$1,446.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $336.05 / $604.89	Facility		$336.05	$336.05	$604.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $374.50 / $405.00	Facility		$65.00	$374.50	$405.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $413.10	Professional		$405.00	$405.00	$413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $787.64 / $926.64 / $926.64	Professional		$787.64	$926.64	$926.64