Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $1,894.00 / $14,482.00	Facility		$158.41	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $251.99 / $431.53	Professional		$158.41	$251.99	$431.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.73 / $614.28 / $1,791.36	Professional		$252.73	$614.28	$1,791.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $352.45 / $1,181.46	Professional		$352.45	$352.45	$1,181.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $239.96 / $533.74	Facility		$158.41	$239.96	$533.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.96 / $1,209.00 / $2,090.40	Facility		$239.96	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $853.18 / $1,493.32	Professional		$304.58	$853.18	$1,493.32
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 $158.41 / $239.96 / $533.74	Facility		$158.41	$239.96	$533.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $361.03 / $662.59 / $953.90	Professional		$361.03	$662.59	$953.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,271.59 / $1,271.59 / $1,271.59	Facility		$1,271.59	$1,271.59	$1,271.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,147.91 / $2,041.28 / $2,041.28	Professional		$1,147.91	$2,041.28	$2,041.28
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 $300.00 / $853.18 / $1,366.65	Professional		$300.00	$853.18	$1,366.65