Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $833.70	Facility		$200.00	$200.00	$833.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.95 / $475.00 / $1,162.45	Professional		$366.95	$475.00	$1,162.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.37 / $884.65 / $2,423.17	Professional		$347.37	$884.65	$2,423.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.60 / $1,228.89 / $1,633.29	Facility		$1,051.60	$1,228.89	$1,633.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.23 / $1,574.79 / $1,789.54	Professional		$508.23	$1,574.79	$1,789.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $339.23 / $510.77 / $833.70	Facility		$339.23	$510.77	$833.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.95 / $613.15 / $1,083.81	Facility		$366.95	$613.15	$1,083.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $493.56 / $1,114.61 / $2,814.89	Professional		$493.56	$1,114.61	$2,814.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $625.80 / $1,324.24	Professional		$65.00	$625.80	$1,324.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $342.07 / $528.63 / $833.70	Facility		$342.07	$528.63	$833.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $690.95 / $1,011.98 / $1,377.41	Professional		$690.95	$1,011.98	$1,377.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $858.23 / $3,392.96 / $3,392.96	Facility		$858.23	$3,392.96	$3,392.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $532.10 / $2,056.50 / $2,814.89	Professional		$532.10	$2,056.50	$2,814.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.22 / $1,005.22 / $1,005.22	Professional		$1,005.22	$1,005.22	$1,005.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.25 / $2,576.01 / $3,118.54	Professional		$1,517.25	$2,576.01	$3,118.54
United Facility/Professional Professional Modifier Low / Median / High Price $432.35 / $991.23 / $1,936.49	Professional		$432.35	$991.23	$1,936.49