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 / $1,580.45	Professional		$1,300.00	$1,300.00	$1,580.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $842.21 / $2,725.00	Professional		$408.43	$842.21	$2,725.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.39 / $4,014.08 / $6,332.27	Facility		$3,532.39	$4,014.08	$6,332.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.85 / $4,410.14 / $5,011.54	Professional		$622.85	$4,410.14	$5,011.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $571.44 / $1,300.00 / $1,532.21	Facility		$571.44	$1,300.00	$1,532.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.44 / $1,300.00 / $3,729.53	Facility		$571.44	$1,300.00	$3,729.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,185.30 / $2,795.31 / $9,962.67	Professional		$1,185.30	$2,795.31	$9,962.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $197.73 / $1,201.58	Professional		$98.58	$197.73	$1,201.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $571.44 / $1,300.00 / $1,532.21	Facility		$571.44	$1,300.00	$1,532.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $612.17 / $1,049.89 / $1,464.10	Professional		$612.17	$1,049.89	$1,464.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,442.64 / $4,442.64 / $4,442.64	Facility		$4,442.64	$4,442.64	$4,442.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $635.36 / $5,250.00 / $9,962.67	Professional		$635.36	$5,250.00	$9,962.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,182.58 / $3,182.58 / $3,182.58	Professional		$3,182.58	$3,182.58	$3,182.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,598.59 / $7,981.28 / $7,981.28	Professional		$2,598.59	$7,981.28	$7,981.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.28 / $2,543.64 / $5,918.30	Professional		$1,381.28	$2,543.64	$5,918.30