Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $1,448.30	Facility		$1,448.30	$1,448.30	$1,448.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $2,460.89	Professional		$1,448.30	$1,448.30	$2,460.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $745.00 / $1,700.00	Professional		$350.00	$745.00	$1,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,686.90 / $1,971.27 / $2,240.08	Facility		$1,686.90	$1,971.27	$2,240.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $702.00 / $877.50	Professional		$198.37	$702.00	$877.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $1,513.47	Facility		$1,448.30	$1,448.30	$1,513.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $2,565.00	Facility		$1,448.30	$1,448.30	$2,565.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,179.75	Professional		$50.00	$58.40	$1,179.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $1,520.72	Facility		$1,448.30	$1,448.30	$1,520.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $2,565.00	Facility		$65.00	$100.00	$2,565.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $198.37	Professional		$198.37	$198.37	$198.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,409.75 / $2,409.75 / $2,551.50	Professional		$2,409.75	$2,409.75	$2,551.50