Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,345.20 / $2,034.22	Facility		$200.00	$1,345.20	$2,034.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.64 / $1,052.55 / $1,345.20	Professional		$958.64	$1,052.55	$1,345.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.74 / $1,761.77 / $4,878.51	Professional		$812.74	$1,761.77	$4,878.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,457.35 / $2,871.61 / $4,405.13	Facility		$2,457.35	$2,871.61	$4,405.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.27 / $3,123.60 / $3,549.55	Professional		$1,126.27	$3,123.60	$3,549.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $725.98 / $929.63 / $1,808.20	Facility		$725.98	$929.63	$1,808.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.98 / $939.91 / $1,808.20	Facility		$725.98	$939.91	$1,808.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $924.34 / $2,102.14 / $5,190.18	Professional		$924.34	$2,102.14	$5,190.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $557.81 / $899.49 / $1,897.45	Professional		$557.81	$899.49	$1,897.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $725.98 / $939.91 / $1,822.58	Facility		$725.98	$939.91	$1,822.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,664.02 / $2,330.12 / $3,249.40	Professional		$1,664.02	$2,330.12	$3,249.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,471.83 / $4,471.83 / $4,471.83	Facility		$4,471.83	$4,471.83	$4,471.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,315.60 / $3,819.47 / $5,190.18	Professional		$1,315.60	$3,819.47	$5,190.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.64 / $2,047.64 / $2,047.64	Professional		$2,047.64	$2,047.64	$2,047.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,565.91 / $5,565.91 / $5,565.91	Professional		$5,565.91	$5,565.91	$5,565.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,356.71 / $1,356.71 / $1,749.45	Facility		$1,356.71	$1,356.71	$1,749.45
United Facility/Professional Professional Modifier Low / Median / High Price $924.34 / $2,022.11 / $3,843.77	Professional		$924.34	$2,022.11	$3,843.77