Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $4,401.91	Facility		$200.00	$200.00	$4,401.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.54 / $3,137.58 / $4,401.91	Professional		$471.54	$3,137.58	$4,401.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $575.92 / $1,525.21	Professional		$240.32	$575.92	$1,525.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.33 / $965.63 / $1,283.40	Facility		$826.33	$965.63	$1,283.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $1,041.78 / $1,183.83	Professional		$306.20	$1,041.78	$1,183.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $243.01 / $564.72 / $4,401.91	Facility		$243.01	$564.72	$4,401.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.81 / $600.10 / $5,722.48	Facility		$266.81	$600.10	$5,722.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $3,134.05 / $5,344.80	Professional		$452.18	$3,134.05	$5,344.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $70.00 / $704.49	Professional		$37.13	$70.00	$704.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $243.01 / $607.07 / $4,401.91	Facility		$243.01	$607.07	$4,401.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $498.55 / $746.90 / $1,106.61	Professional		$498.55	$746.90	$1,106.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,111.04 / $9,011.04 / $9,011.04	Facility		$6,111.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $401.98 / $1,288.20 / $4,824.77	Professional		$401.98	$1,288.20	$4,824.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $754.23 / $754.23 / $754.23	Professional		$754.23	$754.23	$754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.28 / $1,883.12 / $1,883.12	Professional		$1,353.28	$1,883.12	$1,883.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,826.36 / $2,448.81 / $2,494.13	Facility		$1,826.36	$2,448.81	$2,494.13
United Facility/Professional Professional Modifier Low / Median / High Price $490.70 / $3,048.01 / $6,957.57	Professional		$490.70	$3,048.01	$6,957.57