Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $924.00 / $3,936.22	Facility		$924.00	$924.00	$3,936.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $924.00 / $1,155.00	Professional		$924.00	$924.00	$1,155.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.94 / $1,279.47 / $1,327.07	Facility		$1,100.94	$1,279.47	$1,327.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $962.50	Professional		$962.50	$962.50	$962.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $2,620.52 / $4,133.91	Facility		$981.75	$2,620.52	$4,133.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.66 / $981.75 / $1,199.58	Professional		$959.66	$981.75	$1,199.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $981.75 / $1,050.00	Facility		$924.00	$981.75	$1,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.10 / $981.75 / $1,726.07	Facility		$595.10	$981.75	$1,726.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,443.75	Professional		$962.50	$962.50	$1,443.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $3,332.70	Professional		$70.00	$85.00	$3,332.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $958.65 / $1,050.00	Facility		$924.00	$958.65	$1,050.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,331.25 / $4,331.25 / $4,331.25	Facility		$4,331.25	$4,331.25	$4,331.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $1,224.30 / $4,389.00	Professional		$981.75	$1,224.30	$4,389.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,251.25	Professional		$962.50	$962.50	$1,251.25