Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,195.20	Facility		$1,195.20	$1,195.20	$1,195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,269.90	Professional		$1,195.20	$1,195.20	$1,269.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,245.00	Professional		$1,245.00	$1,245.00	$1,245.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.63 / $712.79 / $1,226.05	Facility		$389.63	$712.79	$1,226.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.52 / $540.41 / $1,269.90	Professional		$305.52	$540.41	$1,269.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $1,195.20 / $1,673.28	Facility		$291.27	$1,195.20	$1,673.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $1,195.20 / $1,780.85	Facility		$291.27	$1,195.20	$1,780.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $2,614.50	Professional		$1,245.00	$1,245.00	$2,614.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $5,279.07	Professional		$50.00	$70.00	$5,279.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $1,195.20 / $1,673.28	Facility		$291.27	$1,195.20	$1,673.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,602.00 / $5,602.50	Facility		$1,269.90	$1,602.00	$5,602.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,583.64 / $5,677.20	Professional		$1,269.90	$1,583.64	$5,677.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $408.94 / $408.94	Professional		$408.94	$408.94	$408.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,568.70	Professional		$1,245.00	$1,245.00	$1,568.70