Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $34.15 / $1,155.25	Facility		$25.61	$34.15	$1,155.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $873.84 / $1,257.26	Professional		$27.90	$873.84	$1,257.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $1,017.47 / $2,572.54	Professional		$33.15	$1,017.47	$2,572.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,354.87 / $3,920.43 / $5,210.58	Facility		$3,354.87	$3,920.43	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $1,077.57 / $2,229.46	Professional		$46.88	$1,077.57	$2,229.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $1,076.94 / $1,617.35	Facility		$34.15	$1,076.94	$1,617.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $1,072.43 / $1,579.88	Facility		$34.15	$1,072.43	$1,579.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $1,723.33 / $7,170.93	Professional		$222.74	$1,723.33	$7,170.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,073.49 / $2,343.16	Professional		$85.00	$1,073.49	$2,343.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $1,076.94 / $1,617.35	Facility		$34.15	$1,076.94	$1,617.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $943.97 / $3,912.85	Professional		$54.58	$943.97	$3,912.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $65.56 / $2,274.53	Facility		$46.61	$65.56	$2,274.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $1,077.57 / $7,170.93	Professional		$147.51	$1,077.57	$7,170.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $93.24 / $3,295.91	Professional		$29.69	$93.24	$3,295.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.11 / $2,082.88 / $2,900.68	Professional		$1,110.11	$2,082.88	$2,900.68