Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.40 / $237.40 / $14,482.00	Facility		$237.40	$237.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.40 / $262.62 / $1,479.41	Professional		$237.40	$262.62	$1,479.41
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 $365.31 / $818.77 / $2,243.48	Professional		$365.31	$818.77	$2,243.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $3,244.77	Facility		$3,244.77	$3,244.77	$3,244.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.30 / $1,550.89 / $1,550.89	Professional		$500.30	$1,550.89	$1,550.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $237.40 / $359.60 / $857.27	Facility		$237.40	$359.60	$857.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.39 / $593.50 / $11,598.00	Facility		$245.39	$593.50	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.54 / $741.21 / $3,093.20	Professional		$430.54	$741.21	$3,093.20
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 $237.40 / $359.60 / $857.27	Facility		$237.40	$359.60	$857.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $766.64 / $1,217.10 / $1,735.80	Professional		$766.64	$1,217.10	$1,735.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,159.78 / $2,159.78 / $3,093.20	Professional		$2,159.78	$2,159.78	$3,093.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.54 / $773.77 / $1,622.54	Professional		$430.54	$773.77	$1,622.54