Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $4,397.41	Facility		$200.00	$200.00	$4,397.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,120.89 / $3,134.35 / $4,397.41	Professional		$2,120.89	$3,134.35	$4,397.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.78 / $1,180.63 / $2,563.88	Professional		$405.78	$1,180.63	$2,563.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.41 / $1,891.24 / $2,513.62	Facility		$1,618.41	$1,891.24	$2,513.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.57 / $2,034.21 / $2,311.60	Professional		$599.57	$2,034.21	$2,311.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $517.07 / $1,187.04 / $4,397.41	Facility		$517.07	$1,187.04	$4,397.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $553.04 / $1,752.47 / $5,716.63	Facility		$553.04	$1,752.47	$5,716.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.20 / $3,670.96 / $6,869.73	Professional		$930.20	$3,670.96	$6,869.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,452.12	Professional		$50.00	$85.00	$1,452.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $517.07 / $1,307.70 / $4,397.41	Facility		$517.07	$1,307.70	$4,397.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $844.96 / $1,032.54 / $1,486.50	Professional		$844.96	$1,032.54	$1,486.50
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 $695.31 / $2,132.30 / $6,869.73	Professional		$695.31	$2,132.30	$6,869.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.71 / $1,470.71 / $1,470.71	Professional		$1,470.71	$1,470.71	$1,470.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.25 / $3,679.99 / $12,565.93	Professional		$2,635.25	$3,679.99	$12,565.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,448.81 / $2,448.81 / $2,494.13	Facility		$2,448.81	$2,448.81	$2,494.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,034.18 / $3,056.23 / $6,994.78	Professional		$1,034.18	$3,056.23	$6,994.78