Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $17,823.00	Facility		$151.97	$151.97	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $242.12 / $389.46	Professional		$151.97	$242.12	$389.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $652.61 / $1,487.74	Professional		$247.62	$652.61	$1,487.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.04 / $339.04 / $852.78	Professional		$339.04	$339.04	$852.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $230.21 / $482.20	Facility		$151.97	$230.21	$482.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.21 / $2,803.00 / $7,868.00	Facility		$230.21	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.23 / $819.66 / $1,455.45	Professional		$288.23	$819.66	$1,455.45
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 $151.97 / $230.21 / $482.20	Facility		$151.97	$230.21	$482.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.79 / $597.91 / $860.78	Professional		$325.79	$597.91	$860.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,147.49 / $1,147.49 / $1,147.49	Facility		$1,147.49	$1,147.49	$1,147.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,846.48 / $1,846.48	Professional		$1,038.33	$1,846.48	$1,846.48
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 $265.64 / $676.08 / $1,095.41	Professional		$265.64	$676.08	$1,095.41