Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.76 / $191.76 / $17,823.00	Facility		$191.76	$191.76	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.76 / $304.95 / $491.16	Professional		$191.76	$304.95	$491.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.10 / $857.86 / $1,899.83	Professional		$312.10	$857.86	$1,899.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.49 / $427.49 / $946.32	Professional		$427.49	$427.49	$946.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.76 / $290.44 / $608.00	Facility		$191.76	$290.44	$608.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.76 / $339.35 / $608.00	Facility		$191.76	$339.35	$608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.05 / $1,032.39 / $1,833.15	Professional		$363.05	$1,032.39	$1,833.15
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 $191.76 / $290.44 / $608.00	Facility		$191.76	$290.44	$608.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $410.89 / $754.09 / $1,085.63	Professional		$410.89	$754.09	$1,085.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,447.20 / $1,447.20 / $1,447.20	Facility		$1,447.20	$1,447.20	$1,447.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,308.78 / $2,326.96 / $2,326.96	Professional		$1,308.78	$2,326.96	$2,326.96
United Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $960.91 / $1,407.20	Professional		$352.39	$960.91	$1,407.20