Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $731.14 / $731.14	Facility		$731.14	$731.14	$731.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $731.14 / $913.93	Professional		$731.14	$731.14	$913.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $688.51 / $800.17 / $829.94	Facility		$688.51	$800.17	$829.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $761.61	Professional		$761.61	$761.61	$761.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.64 / $376.13 / $776.84	Facility		$233.64	$376.13	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $913.93	Professional		$776.84	$776.84	$913.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $731.14 / $913.93	Facility		$731.14	$731.14	$913.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.17 / $731.14 / $913.93	Facility		$372.17	$731.14	$913.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $1,142.42	Professional		$761.61	$761.61	$1,142.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $3,070.98	Professional		$70.00	$85.00	$3,070.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $758.56 / $913.93	Facility		$731.14	$758.56	$913.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,472.92 / $3,472.92 / $3,472.92	Facility		$3,472.92	$3,472.92	$3,472.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $968.77 / $3,472.93	Professional		$776.84	$968.77	$3,472.93
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $990.09	Professional		$761.61	$761.61	$990.09