Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Facility		$64.80	$64.80	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $68.16 / $540.42	Professional		$64.80	$68.16	$540.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $231.37 / $521.30	Professional		$110.20	$231.37	$521.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.74 / $785.24 / $785.24	Professional		$186.74	$785.24	$785.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $89.55 / $2,529.07	Facility		$64.80	$89.55	$2,529.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $89.55 / $2,529.07	Facility		$64.80	$89.55	$2,529.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $3,021.19	Professional		$1,438.66	$1,438.66	$3,021.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $89.55 / $2,529.07	Facility		$64.80	$89.55	$2,529.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $923.92 / $2,252.81 / $3,089.62	Professional		$923.92	$2,252.81	$3,089.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,794.70 / $1,835.25 / $5,055.12	Facility		$1,794.70	$1,835.25	$5,055.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $4,094.15 / $4,904.35	Professional		$785.24	$4,094.15	$4,904.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,812.71	Professional		$1,438.66	$1,438.66	$1,812.71