Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.55 / $2,271.38 / $2,293.67	Facility		$1,028.55	$2,271.38	$2,293.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,067.11 / $1,285.69	Professional		$1,028.55	$1,067.11	$1,285.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.03 / $2,441.73 / $2,532.59	Facility		$2,101.03	$2,441.73	$2,532.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.08 / $1,071.41 / $1,529.88	Professional		$445.08	$1,071.41	$1,529.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $2,272.05 / $3,941.44	Facility		$1,092.83	$2,272.05	$3,941.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,226.69 / $1,865.78	Professional		$1,092.83	$1,226.69	$1,865.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $900.53 / $1,092.83 / $1,374.27	Facility		$900.53	$1,092.83	$1,374.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $348.18 / $348.18 / $1,703.54	Professional		$348.18	$348.18	$1,703.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.53 / $1,092.83 / $1,374.27	Facility		$900.53	$1,092.83	$1,374.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,192.70 / $4,885.62	Professional		$1,071.41	$1,192.70	$4,885.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,044.80	Professional		$50.00	$70.00	$4,044.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $900.53 / $1,092.83 / $1,374.27	Facility		$900.53	$1,092.83	$1,374.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $348.18 / $348.18 / $1,703.54	Professional		$348.18	$348.18	$1,703.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $670.05 / $1,038.31 / $1,721.33	Professional		$670.05	$1,038.31	$1,721.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $5,678.45	Facility		$1,092.83	$1,092.83	$5,678.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,362.83 / $4,885.62	Professional		$1,092.83	$1,362.83	$4,885.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.68 / $1,594.51 / $1,689.23	Professional		$1,224.68	$1,594.51	$1,689.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,103.66 / $1,285.69	Professional		$1,071.41	$1,103.66	$1,285.69