Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.16 / $893.16 / $893.16	Facility		$893.16	$893.16	$893.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.01 / $819.16 / $978.01	Professional		$664.01	$819.16	$978.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.01 / $988.86 / $2,709.42	Professional		$607.01	$988.86	$2,709.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.92 / $2,183.98 / $3,350.29	Facility		$1,868.92	$2,183.98	$3,350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.98 / $1,622.96 / $2,217.10	Professional		$820.98	$1,622.96	$2,217.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $749.24 / $877.05 / $1,250.42	Facility		$749.24	$877.05	$1,250.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.24 / $877.05 / $1,661.61	Facility		$749.24	$877.05	$1,661.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.94 / $904.82 / $5,352.44	Professional		$480.94	$904.82	$5,352.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $601.29	Professional		$58.40	$70.00	$601.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $749.24 / $847.91 / $1,250.42	Facility		$749.24	$847.91	$1,250.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,346.41 / $1,923.52 / $2,726.14	Professional		$1,346.41	$1,923.52	$2,726.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $1,677.06 / $3,814.81	Facility		$937.40	$1,677.06	$3,814.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $875.50 / $3,561.71 / $5,352.44	Professional		$875.50	$3,561.71	$5,352.44
United Facility/Professional Professional Modifier Low / Median / High Price $473.68 / $815.25 / $1,657.88	Professional		$473.68	$815.25	$1,657.88