Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,120.00 / $1,120.00	Facility		$1,120.00	$1,120.00	$1,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,120.00 / $1,400.00	Professional		$1,120.00	$1,120.00	$1,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.94 / $1,416.17 / $3,049.58	Professional		$767.94	$1,416.17	$3,049.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $1,299.24 / $1,476.41	Professional		$659.12	$1,299.24	$1,476.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $708.10 / $1,120.00 / $1,190.00	Facility		$708.10	$1,120.00	$1,190.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $708.10 / $1,120.00 / $1,190.00	Facility		$708.10	$1,120.00	$1,190.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $2,940.00	Professional		$1,400.00	$1,400.00	$2,940.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $65.00 / $85.00	Professional		$51.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $708.10 / $1,120.00 / $1,190.00	Facility		$708.10	$1,120.00	$1,190.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $862.20 / $1,890.75 / $2,636.70	Professional		$862.20	$1,890.75	$2,636.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,242.67 / $4,242.67 / $4,242.67	Facility		$4,242.67	$4,242.67	$4,242.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $3,661.20 / $4,908.43	Professional		$659.12	$3,661.20	$4,908.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,820.00	Professional		$1,400.00	$1,400.00	$1,820.00