Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.97 / $330.97 / $14,482.00	Facility		$330.97	$330.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $367.67 / $1,339.62	Professional		$330.97	$367.67	$1,339.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $947.08 / $1,106.73 / $1,697.76	Facility		$947.08	$1,106.73	$1,697.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $553.55 / $665.63	Professional		$325.56	$553.55	$665.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $330.97 / $400.37 / $730.08	Facility		$330.97	$400.37	$730.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.56 / $500.46 / $15,090.00	Facility		$333.56	$500.46	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.87 / $686.03 / $2,316.04	Professional		$420.87	$686.03	$2,316.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $329.99 / $731.51	Professional		$85.00	$329.99	$731.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $330.97 / $400.37 / $730.08	Facility		$330.97	$400.37	$730.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $711.10 / $862.95 / $1,203.40	Professional		$711.10	$862.95	$1,203.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $1,845.20 / $2,316.04	Professional		$325.56	$1,845.20	$2,316.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.67 / $1,303.67 / $1,303.67	Professional		$1,303.67	$1,303.67	$1,303.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.71 / $2,129.27 / $2,129.27	Professional		$1,459.71	$2,129.27	$2,129.27
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $643.75 / $1,383.90	Professional		$407.74	$643.75	$1,383.90