Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $2,213.17	Facility		$200.00	$200.00	$2,213.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.08 / $1,577.48 / $2,213.17	Professional		$1,049.08	$1,577.48	$2,213.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $567.05 / $1,508.86	Professional		$237.50	$567.05	$1,508.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.38 / $922.45 / $1,226.02	Facility		$789.38	$922.45	$1,226.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $999.46 / $1,135.75	Professional		$296.00	$999.46	$1,135.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.84 / $540.55 / $2,213.17	Facility		$234.84	$540.55	$2,213.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.36 / $572.72 / $2,877.12	Facility		$258.36	$572.72	$2,877.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.97 / $2,468.80 / $5,104.70	Professional		$461.97	$2,468.80	$5,104.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $78.05 / $624.83	Professional		$50.00	$78.05	$624.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $234.84 / $581.10 / $2,213.17	Facility		$234.84	$581.10	$2,213.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $730.35 / $1,201.27	Professional		$487.50	$730.35	$1,201.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,432.60 / $3,586.95 / $3,586.95	Facility		$2,432.60	$3,586.95	$3,586.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $1,265.20 / $2,468.80	Professional		$397.78	$1,265.20	$2,468.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.92 / $724.92 / $724.92	Professional		$724.92	$724.92	$724.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.31 / $1,804.66 / $1,804.66	Professional		$1,301.31	$1,804.66	$1,804.66
United Facility/Professional Professional Modifier Low / Median / High Price $513.72 / $2,359.89 / $5,980.16	Professional		$513.72	$2,359.89	$5,980.16