Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.53 / $2,081.77 / $2,081.77	Facility		$933.53	$2,081.77	$2,081.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.02 / $933.53 / $1,112.45	Professional		$784.02	$933.53	$1,112.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.55 / $1,349.09 / $3,415.99	Professional		$911.55	$1,349.09	$3,415.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,575.76 / $2,858.31 / $4,085.76	Facility		$1,575.76	$2,858.31	$4,085.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.63 / $1,492.12 / $1,695.59	Professional		$1,199.63	$1,492.12	$1,695.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.98 / $933.53 / $1,156.08	Facility		$827.98	$933.53	$1,156.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $692.63 / $692.63 / $1,734.12	Professional		$692.63	$692.63	$1,734.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.78 / $933.53 / $1,156.08	Facility		$815.78	$933.53	$1,156.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $5,826.31	Professional		$1,308.77	$1,308.77	$5,826.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $3,183.58	Professional		$50.00	$70.00	$3,183.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $827.98 / $933.53 / $1,179.20	Facility		$827.98	$933.53	$1,179.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $692.63 / $692.63 / $1,734.12	Professional		$692.63	$692.63	$1,734.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,449.90 / $2,117.92 / $2,904.63	Professional		$1,449.90	$2,117.92	$2,904.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,001.02 / $4,752.43 / $4,752.43	Facility		$1,001.02	$4,752.43	$4,752.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,849.03 / $4,597.95 / $5,826.31	Professional		$3,849.03	$4,597.95	$5,826.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,570.52	Professional		$1,308.77	$1,308.77	$1,570.52