Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $6,461.00 / $14,482.00	Facility		$203.13	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $332.46 / $638.87	Professional		$203.13	$332.46	$638.87
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 $544.83 / $1,236.38 / $3,671.43	Professional		$544.83	$1,236.38	$3,671.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.98 / $745.98 / $745.98	Professional		$745.98	$745.98	$745.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $359.87 / $759.74	Facility		$203.13	$359.87	$759.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.86 / $7,600.80 / $12,631.00	Facility		$383.86	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $659.84 / $1,666.11 / $3,091.48	Professional		$659.84	$1,666.11	$3,091.48
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 $203.13 / $359.87 / $759.74	Facility		$203.13	$359.87	$759.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $986.46 / $1,150.35	Professional		$435.39	$986.46	$1,150.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,082.10 / $11,082.10 / $11,082.10	Facility		$11,082.10	$11,082.10	$11,082.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,386.54 / $3,505.14 / $3,505.14	Professional		$1,386.54	$3,505.14	$3,505.14
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 $551.10 / $1,707.63 / $2,699.52	Professional		$551.10	$1,707.63	$2,699.52