Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.92 / $333.92 / $14,482.00	Facility		$333.92	$333.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.92 / $519.05 / $855.39	Professional		$333.92	$519.05	$855.39
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 $513.73 / $1,048.00 / $2,542.36	Professional		$513.73	$1,048.00	$2,542.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.61 / $875.46 / $1,339.46	Professional		$803.61	$875.46	$1,339.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $333.92 / $630.13 / $1,578.78	Facility		$333.92	$630.13	$1,578.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.69 / $1,716.00 / $7,700.00	Facility		$390.69	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $609.69 / $912.21 / $2,286.00	Professional		$609.69	$912.21	$2,286.00
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 $333.92 / $630.13 / $1,578.78	Facility		$333.92	$630.13	$1,578.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $899.10 / $1,313.35 / $1,831.50	Professional		$899.10	$1,313.35	$1,831.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,012.72 / $2,520.51 / $2,520.51	Facility		$1,012.72	$2,520.51	$2,520.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,339.46 / $2,278.62 / $4,051.68	Professional		$1,339.46	$2,278.62	$4,051.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.24 / $912.21 / $2,220.34	Professional		$589.24	$912.21	$2,220.34