Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $1,147.50 / $1,221.20	Professional		$860.00	$1,147.50	$1,221.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $6,764.54 / $9,245.52	Facility		$1,150.00	$6,764.54	$9,245.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $3,096.56	Professional		$839.50	$977.50	$3,096.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $900.00	Facility		$600.00	$600.00	$900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $3,508.51	Facility		$600.00	$600.00	$3,508.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $466.20 / $1,500.00	Professional		$372.49	$466.20	$1,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $58.40 / $713.45	Professional		$1.88	$58.40	$713.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $900.00	Facility		$600.00	$600.00	$900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,150.00 / $3,508.51	Facility		$65.00	$1,150.00	$3,508.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $466.20 / $1,500.00	Professional		$372.49	$466.20	$1,500.00