Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $2,593.02 / $6,695.88	Facility		$1,214.63	$2,593.02	$6,695.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,276.80 / $3,735.00	Professional		$1,100.00	$1,276.80	$3,735.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.92 / $1,214.63 / $1,214.63	Professional		$1,150.92	$1,214.63	$1,214.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $2,756.27 / $3,939.91	Facility		$1,238.93	$2,756.27	$3,939.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.80 / $1,191.50 / $1,446.00	Professional		$1,156.80	$1,191.50	$1,446.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,457.56 / $1,457.56	Facility		$1,214.63	$1,457.56	$1,457.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,457.56 / $1,685.51 / $2,637.49	Facility		$1,457.56	$1,685.51	$2,637.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,579.02	Professional		$1,214.63	$1,214.63	$1,579.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,365.01	Professional		$55.00	$65.00	$3,365.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,457.56 / $1,457.56	Facility		$1,214.63	$1,457.56	$1,457.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,205.56 / $5,205.56 / $5,205.56	Facility		$5,205.56	$5,205.56	$5,205.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $667.03 / $667.03 / $1,219.56	Professional		$667.03	$667.03	$1,219.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,579.02	Professional		$1,214.63	$1,214.63	$1,579.02