Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.15 / $3,119.00 / $14,482.00	Facility		$211.15	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $345.61 / $541.49	Professional		$211.15	$345.61	$541.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.51 / $841.16 / $2,820.19	Professional		$418.51	$841.16	$2,820.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.12 / $573.12 / $573.12	Professional		$573.12	$573.12	$573.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.15 / $373.69 / $669.53	Facility		$211.15	$373.69	$669.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.60 / $3,912.00 / $6,312.00	Facility		$398.60	$3,912.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.26 / $1,386.54 / $2,376.64	Professional		$507.26	$1,386.54	$2,376.64
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 $211.15 / $373.69 / $669.53	Facility		$211.15	$373.69	$669.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.01 / $878.21 / $1,196.92	Professional		$453.01	$878.21	$1,196.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,564.75 / $5,564.75 / $5,564.75	Facility		$5,564.75	$5,564.75	$5,564.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,439.87 / $2,560.16 / $2,560.16	Professional		$1,439.87	$2,560.16	$2,560.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.85 / $1,386.54 / $2,075.32	Professional		$465.85	$1,386.54	$2,075.32