Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.26 / $2,786.69 / $2,886.20	Facility		$1,294.26	$2,786.69	$2,886.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.26 / $1,294.26 / $2,306.91	Professional		$1,294.26	$1,294.26	$2,306.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.30 / $1,081.19 / $2,029.28	Professional		$586.30	$1,081.19	$2,029.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $3,469.46 / $4,959.37	Facility		$1,429.07	$3,469.46	$4,959.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $2,318.79 / $2,634.99	Professional		$1,429.07	$2,318.79	$2,634.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,231.07 / $1,313.21 / $1,429.07	Facility		$1,231.07	$1,313.21	$1,429.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $295.27 / $2,143.61	Professional		$295.27	$295.27	$2,143.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,231.07 / $1,313.21 / $1,429.07	Facility		$1,231.07	$1,313.21	$1,429.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,901.31	Professional		$1,388.63	$1,388.63	$1,901.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $3,194.25	Professional		$65.00	$85.00	$3,194.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,231.07 / $1,313.21 / $1,429.07	Facility		$1,231.07	$1,313.21	$1,429.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $295.27 / $2,143.61	Professional		$295.27	$295.27	$2,143.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $932.58 / $1,362.26 / $1,961.18	Professional		$932.58	$1,362.26	$1,961.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,076.00 / $6,076.00 / $6,076.00	Facility		$6,076.00	$6,076.00	$6,076.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,786.34 / $2,006.41 / $2,260.26	Professional		$1,786.34	$2,006.41	$2,260.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,901.31	Professional		$1,388.63	$1,388.63	$1,901.31