Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $167.50 / $14,482.00	Facility		$167.50	$167.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $185.28 / $266.58	Professional		$167.50	$185.28	$266.58
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 $257.69 / $438.08 / $972.89	Professional		$257.69	$438.08	$972.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,168.28 / $5,168.28 / $5,168.28	Facility		$5,168.28	$5,168.28	$5,168.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.65 / $516.65 / $516.65	Professional		$454.65	$516.65	$516.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $256.27 / $544.64	Facility		$167.50	$256.27	$544.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.98 / $412.77 / $13,250.00	Facility		$195.98	$412.77	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.11 / $607.39 / $2,032.16	Professional		$333.11	$607.39	$2,032.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,019.99	Professional		$50.00	$58.40	$1,019.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $256.27 / $544.64	Facility		$167.50	$256.27	$544.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $423.76 / $535.60 / $746.90	Professional		$423.76	$535.60	$746.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,168.28 / $5,168.28 / $14,266.70	Facility		$5,168.28	$5,168.28	$14,266.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,142.96 / $1,281.20 / $2,032.16	Professional		$1,142.96	$1,281.20	$2,032.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $624.94 / $1,172.77	Professional		$307.49	$624.94	$1,172.77