Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.77 / $201.77 / $14,482.00	Facility		$201.77	$201.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.77 / $305.61 / $330.15	Professional		$201.77	$305.61	$330.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $633.25 / $1,509.04	Professional		$309.89	$633.25	$1,509.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.12 / $599.00 / $599.00	Professional		$527.12	$599.00	$599.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.77 / $357.47 / $476.62	Facility		$201.77	$357.47	$476.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.27 / $1,198.00 / $2,043.20	Facility		$315.27	$1,198.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $595.48 / $2,066.61	Professional		$320.37	$595.48	$2,066.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,107.40	Professional		$50.00	$58.40	$1,107.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.77 / $357.47 / $476.62	Facility		$201.77	$357.47	$476.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $432.38 / $793.53 / $1,106.59	Professional		$432.38	$793.53	$1,106.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,522.92 / $1,522.92 / $1,522.92	Facility		$1,522.92	$1,522.92	$1,522.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,377.72 / $1,485.40 / $2,449.92	Professional		$1,377.72	$1,485.40	$2,449.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $335.21 / $594.16 / $1,301.95	Professional		$335.21	$594.16	$1,301.95