Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $17,823.00	Facility		$37.64	$37.64	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $37.64 / $208.10	Professional		$13.60	$37.64	$208.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $117.61 / $298.93	Professional		$56.02	$117.61	$298.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $109.58 / $109.58	Professional		$96.43	$109.58	$109.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $57.03 / $86.04	Facility		$37.64	$57.03	$86.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $8,225.90 / $15,702.00	Facility		$51.23	$8,225.90	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $124.72 / $285.45	Professional		$40.02	$124.72	$285.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $201.79	Professional		$50.00	$58.40	$201.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $57.03 / $86.04	Facility		$37.64	$57.03	$86.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $319.45 / $445.50	Professional		$102.92	$319.45	$445.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,266.70 / $14,266.70 / $14,266.70	Facility		$14,266.70	$14,266.70	$14,266.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $461.46 / $829.18 / $829.18	Professional		$461.46	$829.18	$829.18
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $166.24 / $243.63	Professional		$40.40	$166.24	$243.63