Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.79 / $211.79 / $14,482.00	Facility		$211.79	$211.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.79 / $218.80 / $337.08	Professional		$211.79	$218.80	$337.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.07 / $547.42 / $1,292.53	Professional		$287.07	$547.42	$1,292.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $3,244.77	Facility		$3,244.77	$3,244.77	$3,244.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.10 / $523.98 / $523.98	Professional		$461.10	$523.98	$523.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.79 / $320.79 / $552.34	Facility		$211.79	$320.79	$552.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.79 / $428.51 / $11,598.00	Facility		$247.79	$428.51	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $508.34 / $2,571.67	Professional		$309.39	$508.34	$2,571.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $737.51	Professional		$50.00	$58.40	$737.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.79 / $320.79 / $552.34	Facility		$211.79	$320.79	$552.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $502.80 / $729.64 / $1,000.67	Professional		$502.80	$729.64	$1,000.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,446.21 / $1,446.21 / $2,571.67	Professional		$1,446.21	$1,446.21	$2,571.67
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $486.66 / $1,003.33	Professional		$311.83	$486.66	$1,003.33