Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $960.00	Facility		$960.00	$960.00	$960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $1,020.00	Professional		$960.00	$960.00	$1,020.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $112.70 / $960.00	Professional		$85.71	$112.70	$960.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $1,430.40	Facility		$960.00	$960.00	$1,430.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $972.00 / $1,440.00	Facility		$960.00	$972.00	$1,440.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $1,656.88	Professional		$788.99	$788.99	$1,656.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $1,430.40	Facility		$960.00	$960.00	$1,430.40
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 $1,020.00 / $1,140.00 / $4,500.00	Facility		$1,020.00	$1,140.00	$4,500.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,272.00 / $4,560.00	Professional		$1,020.00	$1,272.00	$4,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $946.79	Professional		$788.99	$788.99	$946.79