Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $2,944.00	Facility		$2,944.00	$2,944.00	$2,944.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $3,128.00	Professional		$2,944.00	$2,944.00	$3,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $840.84 / $1,611.19	Professional		$530.00	$840.84	$1,611.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.32 / $1,297.60 / $2,232.00	Facility		$709.32	$1,297.60	$2,232.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.20 / $939.29 / $3,128.00	Professional		$556.20	$939.29	$3,128.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,944.00 / $4,121.60	Facility		$530.00	$2,944.00	$4,121.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,334.00 / $1,987.66	Facility		$530.00	$1,334.00	$1,987.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,991.00	Professional		$3,200.00	$3,200.00	$4,991.00
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 $530.00 / $2,944.00 / $4,121.60	Facility		$530.00	$2,944.00	$4,121.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,070.56 / $1,177.61 / $1,179.73	Professional		$1,070.56	$1,177.61	$1,179.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,212.09 / $1,354.70 / $5,347.50	Facility		$1,212.09	$1,354.70	$5,347.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,511.56 / $3,128.00 / $4,991.00	Professional		$1,511.56	$3,128.00	$4,991.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $744.12 / $744.12 / $744.12	Professional		$744.12	$744.12	$744.12
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,032.00	Professional		$3,200.00	$3,200.00	$4,032.00