Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $718.00 / $718.00	Facility		$718.00	$718.00	$718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $762.88	Professional		$718.00	$718.00	$762.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.17 / $852.63 / $1,305.76	Professional		$659.17	$852.63	$1,305.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,085.65 / $1,986.07 / $2,814.95	Facility		$1,085.65	$1,986.07	$2,814.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $1,033.13 / $2,575.25	Professional		$762.88	$1,033.13	$2,575.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $696.84 / $744.93 / $953.60	Facility		$696.84	$744.93	$953.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.84 / $726.98 / $1,005.20	Facility		$696.84	$726.98	$1,005.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $3,410.50	Professional		$1,997.50	$1,997.50	$3,410.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $856.06	Professional		$50.00	$70.00	$856.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $696.84 / $726.98 / $953.60	Facility		$696.84	$726.98	$953.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $540.22 / $540.22 / $540.22	Professional		$540.22	$540.22	$540.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $897.50 / $3,365.63	Facility		$762.88	$897.50	$3,365.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $951.35 / $3,410.50	Professional		$762.88	$951.35	$3,410.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $805.77 / $1,291.05 / $1,291.05	Professional		$805.77	$1,291.05	$1,291.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,596.75	Professional		$1,997.50	$1,997.50	$2,596.75