Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.06 / $733.06 / $733.06	Facility		$733.06	$733.06	$733.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.07 / $707.68 / $899.69	Professional		$572.07	$707.68	$899.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $1,072.35 / $1,331.32	Professional		$133.16	$1,072.35	$1,331.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,966.49 / $3,371.01 / $5,317.81	Facility		$2,966.49	$3,371.01	$5,317.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $1,246.84 / $1,543.13	Professional		$894.40	$1,246.84	$1,543.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $981.23 / $1,319.51	Facility		$460.08	$981.23	$1,319.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $801.92 / $801.92 / $801.92	Professional		$801.92	$801.92	$801.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.06 / $1,681.97 / $5,757.82	Facility		$733.06	$1,681.97	$5,757.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $604.19 / $817.67 / $1,394.07	Professional		$604.19	$817.67	$1,394.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $386.49	Professional		$50.00	$55.00	$386.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $981.23 / $1,319.51	Facility		$460.08	$981.23	$1,319.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $801.92 / $801.92 / $801.92	Professional		$801.92	$801.92	$801.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $256.36 / $332.87	Professional		$173.88	$256.36	$332.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,681.97 / $2,072.56 / $5,757.82	Facility		$1,681.97	$2,072.56	$5,757.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $894.40	Professional		$894.40	$894.40	$894.40
United Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $704.39 / $1,394.07	Professional		$587.00	$704.39	$1,394.07