Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,152.00	Facility		$1,152.00	$1,152.00	$1,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,152.00 / $1,224.00	Professional		$1,152.00	$1,152.00	$1,224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $805.04 / $1,665.52	Professional		$394.00	$805.04	$1,665.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.26 / $946.27 / $1,341.19	Facility		$517.26	$946.27	$1,341.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $684.96 / $1,224.00	Professional		$405.60	$684.96	$1,224.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,152.00 / $1,612.80	Facility		$386.49	$1,152.00	$1,612.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,152.00 / $1,716.48	Facility		$386.49	$1,152.00	$1,716.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $2,520.00	Professional		$1,200.00	$1,200.00	$2,520.00
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 $386.49 / $1,152.00 / $1,612.80	Facility		$386.49	$1,152.00	$1,612.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $807.71 / $888.48 / $890.07	Professional		$807.71	$888.48	$890.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $5,400.00	Facility		$1,224.00	$1,224.00	$5,400.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,526.40 / $5,472.00	Professional		$1,224.00	$1,526.40	$5,472.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $542.63 / $542.63 / $542.63	Professional		$542.63	$542.63	$542.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,560.00	Professional		$1,200.00	$1,200.00	$1,560.00