Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $500.00	Professional		$400.00	$400.00	$500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.03 / $814.78 / $1,903.29	Professional		$479.03	$814.78	$1,903.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $1,297.41 / $2,046.68	Facility		$432.81	$1,297.41	$2,046.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $814.92 / $926.05	Professional		$432.81	$814.92	$926.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $425.00 / $623.66	Facility		$400.00	$425.00	$623.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $444.14 / $623.66	Facility		$400.00	$444.14	$623.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $1,050.00	Professional		$500.00	$500.00	$1,050.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $65.00 / $85.00	Professional		$32.02	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $425.00 / $623.66	Facility		$400.00	$425.00	$623.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $566.16 / $1,241.57 / $1,731.40	Professional		$566.16	$1,241.57	$1,731.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,785.98 / $2,785.98 / $2,785.98	Facility		$2,785.98	$2,785.98	$2,785.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $2,296.40 / $3,061.82	Professional		$432.81	$2,296.40	$3,061.82
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $650.00	Professional		$500.00	$500.00	$650.00