Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $947.80 / $1,304.44	Facility		$200.00	$947.80	$1,304.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.20 / $947.80 / $1,304.44	Professional		$671.20	$947.80	$1,304.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.68 / $1,147.33 / $3,440.92	Professional		$500.68	$1,147.33	$3,440.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.66 / $2,027.08 / $3,109.60	Facility		$1,734.66	$2,027.08	$3,109.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.79 / $2,820.25 / $3,204.83	Professional		$622.79	$2,820.25	$3,204.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $224.64 / $646.15 / $1,084.13	Facility		$224.64	$646.15	$1,084.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.64 / $695.70 / $1,233.30	Facility		$224.64	$695.70	$1,233.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.54 / $1,334.52 / $4,187.89	Professional		$407.54	$1,334.52	$4,187.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $461.02 / $1,163.18	Professional		$81.30	$461.02	$1,163.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $224.64 / $695.70 / $1,084.13	Facility		$224.64	$695.70	$1,084.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.57 / $1,492.41 / $2,191.27	Professional		$349.57	$1,492.41	$2,191.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,991.20 / $5,991.20 / $5,991.20	Facility		$5,991.20	$5,991.20	$5,991.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $934.31 / $2,936.75 / $4,187.89	Professional		$934.31	$2,936.75	$4,187.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,148.46 / $2,148.46 / $2,148.46	Professional		$2,148.46	$2,148.46	$2,148.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.35 / $3,872.61 / $3,872.61	Professional		$1,527.35	$3,872.61	$3,872.61
United Facility/Professional Facility Modifier Low / Median / High Price $450.06 / $450.06 / $458.39	Facility		$450.06	$450.06	$458.39
United Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $925.84 / $2,574.06	Professional		$428.40	$925.84	$2,574.06