Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $384.00	Facility		$384.00	$384.00	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $408.00	Professional		$384.00	$384.00	$408.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $384.00 / $456.00	Professional		$346.80	$384.00	$456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $388.80 / $572.16	Facility		$384.00	$388.80	$572.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $388.80 / $576.00	Facility		$384.00	$388.80	$576.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $1,008.00	Professional		$480.00	$480.00	$1,008.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $136.13	Professional		$50.00	$65.00	$136.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $572.16	Facility		$384.00	$384.00	$572.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $456.00 / $1,800.00	Facility		$408.00	$456.00	$1,800.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $508.80 / $1,824.00	Professional		$408.00	$508.80	$1,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $604.79	Professional		$480.00	$480.00	$604.79