Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,161.20 / $1,670.60	Facility		$200.00	$1,161.20	$1,670.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.55 / $1,161.20 / $1,670.60	Professional		$805.55	$1,161.20	$1,670.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.90 / $1,589.14 / $4,719.72	Professional		$738.90	$1,589.14	$4,719.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.63 / $2,474.62 / $3,796.13	Facility		$2,117.63	$2,474.62	$3,796.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.93 / $3,509.85 / $3,988.46	Professional		$889.93	$3,509.85	$3,988.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $727.27 / $886.68 / $1,451.00	Facility		$727.27	$886.68	$1,451.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.49 / $890.99 / $1,548.88	Facility		$742.49	$890.99	$1,548.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.37 / $1,757.90 / $4,811.54	Professional		$800.37	$1,757.90	$4,811.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $259.82 / $620.17 / $1,532.31	Professional		$259.82	$620.17	$1,532.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $727.27 / $890.99 / $1,484.98	Facility		$727.27	$890.99	$1,484.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.56 / $1,887.60 / $3,338.26	Professional		$499.56	$1,887.60	$3,338.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,563.56 / $5,563.56 / $5,563.56	Facility		$5,563.56	$5,563.56	$5,563.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,225.73 / $3,695.70 / $4,811.54	Professional		$1,225.73	$3,695.70	$4,811.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,527.66 / $2,527.66 / $2,527.66	Professional		$2,527.66	$2,527.66	$2,527.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,470.78 / $4,819.50 / $4,819.50	Professional		$2,470.78	$4,819.50	$4,819.50
United Facility/Professional Professional Modifier Low / Median / High Price $794.27 / $1,593.42 / $3,300.23	Professional		$794.27	$1,593.42	$3,300.23