Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $915.68	Facility		$915.68	$915.68	$915.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $915.68 / $915.68	Professional		$500.00	$915.68	$915.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.16 / $872.08 / $1,238.34	Professional		$659.16	$872.08	$1,238.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,085.65 / $1,986.07 / $2,814.95	Facility		$1,085.65	$1,986.07	$2,814.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.30 / $1,033.13 / $2,442.05	Professional		$851.30	$1,033.13	$2,442.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $696.84 / $915.68 / $1,144.59	Facility		$696.84	$915.68	$1,144.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.84 / $906.96 / $1,037.39	Facility		$696.84	$906.96	$1,037.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,133.70	Professional		$872.08	$872.08	$1,133.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $856.06	Professional		$50.00	$70.00	$856.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $696.84 / $915.68 / $1,144.59	Facility		$696.84	$915.68	$1,144.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $540.22 / $540.22 / $540.22	Professional		$540.22	$540.22	$540.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $880.31 / $1,037.39	Facility		$65.00	$880.31	$1,037.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $904.99	Professional		$872.08	$872.08	$904.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $805.77 / $1,224.40 / $1,224.40	Professional		$805.77	$1,224.40	$1,224.40
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,133.70	Professional		$872.08	$872.08	$1,133.70