Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $172.03 / $14,482.00	Facility		$172.03	$172.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $255.98 / $387.88	Professional		$172.03	$255.98	$387.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.24 / $590.50 / $1,942.90	Professional		$388.24	$590.50	$1,942.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.45 / $528.45 / $947.86	Professional		$528.45	$528.45	$947.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $304.69 / $430.08	Facility		$172.03	$304.69	$430.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.19 / $1,209.00 / $2,090.40	Facility		$267.19	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.94 / $726.84 / $1,900.39	Professional		$426.94	$726.84	$1,900.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $304.69 / $430.08	Facility		$172.03	$304.69	$430.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $355.87 / $655.78 / $910.80	Professional		$355.87	$655.78	$910.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,253.44 / $1,253.44 / $1,253.44	Facility		$1,253.44	$1,253.44	$1,253.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,176.89 / $2,054.08 / $2,054.08	Professional		$1,176.89	$2,054.08	$2,054.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,495.00 / $2,202.90	Facility		$1,008.00	$1,495.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $331.14 / $698.49 / $1,493.25	Professional		$331.14	$698.49	$1,493.25