Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.02 / $307.02 / $14,482.00	Facility		$307.02	$307.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $339.63 / $613.76	Professional		$307.02	$339.63	$613.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.65 / $1,080.19 / $3,267.22	Professional		$499.65	$1,080.19	$3,267.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,393.36 / $11,393.36 / $11,393.36	Facility		$11,393.36	$11,393.36	$11,393.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.34 / $2,177.23 / $2,177.23	Professional		$684.34	$2,177.23	$2,177.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $307.02 / $465.05 / $769.94	Facility		$307.02	$465.05	$769.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.26 / $615.95 / $8,783.00	Facility		$317.26	$615.95	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $579.41 / $1,014.47 / $3,956.80	Professional		$579.41	$1,014.47	$3,956.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $307.02 / $465.05 / $769.94	Facility		$307.02	$465.05	$769.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $976.20 / $1,254.91 / $1,789.70	Professional		$976.20	$1,254.91	$1,789.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,393.36 / $11,393.36 / $31,450.65	Facility		$11,393.36	$11,393.36	$31,450.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,225.30 / $2,225.30 / $3,956.80	Professional		$2,225.30	$2,225.30	$3,956.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.20 / $1,023.56 / $2,311.57	Professional		$570.20	$1,023.56	$2,311.57