Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.02 / $402.02 / $402.02	Facility		$402.02	$402.02	$402.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.02 / $593.40 / $707.33	Professional		$402.02	$593.40	$707.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.14 / $1,237.00 / $2,364.63	Professional		$619.14	$1,237.00	$2,364.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.94 / $1,257.89 / $1,257.89	Professional		$1,106.94	$1,257.89	$1,257.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $373.22 / $646.21 / $1,098.91	Facility		$373.22	$646.21	$1,098.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.02 / $654.32 / $1,333.06	Facility		$402.02	$654.32	$1,333.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $656.47 / $1,483.73 / $4,140.28	Professional		$656.47	$1,483.73	$4,140.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $2,175.46	Professional		$50.00	$65.00	$2,175.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $402.02 / $646.21 / $1,098.91	Facility		$402.02	$646.21	$1,098.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,177.03 / $1,618.54 / $2,273.94	Professional		$1,177.03	$1,618.54	$2,273.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,532.39 / $4,532.39 / $4,532.39	Facility		$4,532.39	$4,532.39	$4,532.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,751.08 / $3,119.30 / $4,140.28	Professional		$2,751.08	$3,119.30	$4,140.28
United Facility/Professional Professional Modifier Low / Median / High Price $642.41 / $1,422.40 / $2,775.96	Professional		$642.41	$1,422.40	$2,775.96