Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,300.00	Facility		$200.00	$200.00	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,964.92	Professional		$1,300.00	$1,300.00	$1,964.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.25 / $1,121.67 / $4,049.14	Professional		$627.25	$1,121.67	$4,049.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,464.39 / $6,209.54 / $9,795.62	Facility		$5,464.39	$6,209.54	$9,795.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.27 / $6,953.33 / $7,901.51	Professional		$1,090.27	$6,953.33	$7,901.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $1,300.00 / $2,381.38	Facility		$89.69	$1,300.00	$2,381.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,300.00 / $4,731.62	Facility		$1,000.00	$1,300.00	$4,731.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,842.92 / $4,873.57 / $11,540.54	Professional		$2,842.92	$4,873.57	$11,540.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $200.86 / $2,165.36	Professional		$70.00	$200.86	$2,165.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,300.00 / $2,381.38	Facility		$1,000.00	$1,300.00	$2,381.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $1,567.72 / $2,239.60	Professional		$190.98	$1,567.72	$2,239.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,897.90 / $6,897.90 / $6,897.90	Facility		$6,897.90	$6,897.90	$6,897.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $961.66 / $3,367.50 / $4,226.72	Professional		$961.66	$3,367.50	$4,226.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,039.59 / $5,039.59 / $5,039.59	Professional		$5,039.59	$5,039.59	$5,039.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,039.59 / $12,389.97 / $12,389.97	Professional		$5,039.59	$12,389.97	$12,389.97
United Facility/Professional Professional Modifier Low / Median / High Price $2,572.16 / $5,170.85 / $11,540.54	Professional		$2,572.16	$5,170.85	$11,540.54