Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $1,713.61 / $2,284.82	Facility		$768.00	$1,713.61	$2,284.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $7,438.76	Professional		$768.00	$768.00	$7,438.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,113.46 / $2,456.17 / $2,547.57	Facility		$2,113.46	$2,456.17	$2,547.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $6,048.23	Professional		$800.00	$800.00	$6,048.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,847.76 / $4,070.69	Facility		$816.00	$2,847.76	$4,070.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $1,667.97 / $1,895.43	Professional		$816.00	$1,667.97	$1,895.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $1,142.41 / $2,436.30	Facility		$55.64	$1,142.41	$2,436.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $31.26 / $1,713.62	Professional		$31.26	$31.26	$1,713.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $835.80 / $2,436.30	Facility		$55.64	$835.80	$2,436.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,280.00	Professional		$800.00	$800.00	$1,280.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $1,142.41	Professional		$65.00	$85.00	$1,142.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $1,142.41 / $2,436.30	Facility		$55.64	$1,142.41	$2,436.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $31.26 / $1,713.62	Professional		$31.26	$31.26	$1,713.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,306.83 / $2,797.34 / $4,010.94	Professional		$1,306.83	$2,797.34	$4,010.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,196.10 / $14,196.10 / $14,196.10	Facility		$14,196.10	$14,196.10	$14,196.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.94 / $1,603.94 / $4,193.04	Professional		$1,603.94	$1,603.94	$4,193.04
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,280.00	Professional		$800.00	$800.00	$1,280.00