Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.05 / $593.05 / $593.05	Facility		$593.05	$593.05	$593.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.05 / $698.70 / $819.53	Professional		$593.05	$698.70	$819.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.22 / $1,654.97 / $3,842.19	Professional		$972.22	$1,654.97	$3,842.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $1,651.72 / $1,876.95	Professional		$876.07	$1,651.72	$1,876.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $623.73 / $886.96 / $1,183.50	Facility		$623.73	$886.96	$1,183.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $678.19 / $886.96 / $1,183.50	Facility		$678.19	$886.96	$1,183.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $1,862.62	Professional		$886.96	$886.96	$1,862.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.19 / $85.00	Professional		$55.00	$65.19	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $623.73 / $819.53 / $1,183.50	Facility		$623.73	$819.53	$1,183.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,146.00 / $2,513.12 / $3,504.60	Professional		$1,146.00	$2,513.12	$3,504.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,639.22 / $5,639.22 / $5,639.22	Facility		$5,639.22	$5,639.22	$5,639.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $4,654.45 / $6,219.11	Professional		$876.07	$4,654.45	$6,219.11
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $1,214.43	Professional		$886.96	$886.96	$1,214.43