Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.33 / $3,119.00 / $14,482.00	Facility		$195.33	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.33 / $319.66 / $499.88	Professional		$195.33	$319.66	$499.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $721.22 / $2,139.33	Professional		$317.47	$721.22	$2,139.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.63 / $434.63 / $434.63	Professional		$434.63	$434.63	$434.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $195.33 / $345.68 / $619.35	Facility		$195.33	$345.68	$619.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.73 / $2,695.00 / $4,793.00	Facility		$368.73	$2,695.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.80 / $1,051.75 / $1,802.86	Professional		$384.80	$1,051.75	$1,802.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $195.33 / $345.68 / $619.35	Facility		$195.33	$345.68	$619.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $767.50 / $1,104.94	Professional		$418.20	$767.50	$1,104.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,885.50 / $1,885.50 / $1,885.50	Facility		$1,885.50	$1,885.50	$1,885.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,333.22 / $2,370.48 / $2,370.48	Professional		$1,333.22	$2,370.48	$2,370.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.09 / $1,096.99 / $1,641.16	Professional		$364.09	$1,096.99	$1,641.16