Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.75 / $1,716.06 / $5,023.00	Professional		$840.75	$1,716.06	$5,023.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,112.23 / $2,468.30 / $3,786.44	Facility		$2,112.23	$2,468.30	$3,786.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.56 / $3,408.65 / $3,873.46	Professional		$1,276.56	$3,408.65	$3,873.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $826.21 / $1,250.20 / $1,651.41	Facility		$826.21	$1,250.20	$1,651.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $874.25 / $1,250.20 / $1,832.07	Facility		$874.25	$1,250.20	$1,832.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $843.49 / $1,936.16 / $8,640.00	Professional		$843.49	$1,936.16	$8,640.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $524.65 / $2,968.18	Professional		$65.00	$524.65	$2,968.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $826.21 / $1,250.20 / $1,651.41	Facility		$826.21	$1,250.20	$1,651.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,508.22 / $2,203.12 / $3,072.30	Professional		$1,508.22	$2,203.12	$3,072.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,226.55 / $4,226.55 / $4,226.55	Facility		$4,226.55	$4,226.55	$4,226.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,960.36 / $4,792.85 / $8,640.00	Professional		$3,960.36	$4,792.85	$8,640.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.96 / $2,494.96 / $2,494.96	Professional		$2,494.96	$2,494.96	$2,494.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,464.03 / $4,758.24 / $4,758.24	Professional		$3,464.03	$4,758.24	$4,758.24
United Facility/Professional Professional Modifier Low / Median / High Price $843.49 / $1,742.54 / $3,476.42	Professional		$843.49	$1,742.54	$3,476.42