Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.43 / $473.43 / $473.43	Facility		$473.43	$473.43	$473.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $473.43 / $747.25	Professional		$74.06	$473.43	$747.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.06 / $1,389.47 / $2,954.01	Professional		$771.06	$1,389.47	$2,954.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,528.54 / $2,954.80 / $4,532.74	Facility		$2,528.54	$2,954.80	$4,532.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $818.96 / $1,052.63	Professional		$101.58	$818.96	$1,052.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.19 / $473.43 / $2,451.96	Facility		$100.19	$473.43	$2,451.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.19 / $473.43 / $2,470.56	Facility		$100.19	$473.43	$2,470.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.68 / $1,201.44 / $3,033.39	Professional		$761.68	$1,201.44	$3,033.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $851.81	Professional		$65.00	$85.00	$851.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.19 / $473.43 / $2,451.96	Facility		$100.19	$473.43	$2,451.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $1,018.24 / $2,977.11	Professional		$194.40	$1,018.24	$2,977.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $108.54 / $169.48 / $455.09	Facility		$108.54	$169.48	$455.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $818.96 / $4,977.89	Professional		$292.22	$818.96	$4,977.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $104.20 / $1,063.06	Professional		$104.20	$104.20	$1,063.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $300.56 / $300.56 / $3,066.52	Professional		$300.56	$300.56	$3,066.52
United Facility/Professional Professional Modifier Low / Median / High Price $703.72 / $1,139.22 / $3,033.39	Professional		$703.72	$1,139.22	$3,033.39