Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $57,200.00	Facility		$200.00	$200.00	$57,200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.23 / $2,301.94 / $6,831.83	Professional		$1,065.23	$2,301.94	$6,831.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,180.95 / $3,717.20 / $5,702.27	Facility		$3,180.95	$3,717.20	$5,702.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.63 / $5,071.29 / $5,762.83	Professional		$1,922.63	$5,071.29	$5,762.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,053.96 / $1,584.02 / $2,281.06	Facility		$1,053.96	$1,584.02	$2,281.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,234.91 / $1,584.02 / $2,311.88	Facility		$1,234.91	$1,584.02	$2,311.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,337.41 / $2,834.01 / $17,540.00	Professional		$1,337.41	$2,834.01	$17,540.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $822.26 / $4,184.81	Professional		$65.00	$822.26	$4,184.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,046.84 / $1,584.02 / $2,281.06	Facility		$1,046.84	$1,584.02	$2,281.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,175.55 / $2,650.03 / $3,799.72	Professional		$2,175.55	$2,650.03	$3,799.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,125.12 / $8,125.12 / $8,125.12	Facility		$8,125.12	$8,125.12	$8,125.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,064.91 / $5,694.25 / $17,540.00	Professional		$4,064.91	$5,694.25	$17,540.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,711.92 / $3,711.92 / $3,711.92	Professional		$3,711.92	$3,711.92	$3,711.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,153.66 / $7,079.17 / $7,859.63	Professional		$5,153.66	$7,079.17	$7,859.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.75 / $2,487.13 / $5,172.04	Professional		$1,305.75	$2,487.13	$5,172.04