Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $200.00 / $14,482.00	Facility		$85.09	$200.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $92.29 / $300.39	Professional		$80.92	$92.29	$300.39
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 $202.91 / $314.18 / $1,487.45	Professional		$202.91	$314.18	$1,487.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $362.11 / $362.11	Professional		$336.82	$362.11	$362.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $129.04 / $270.92	Facility		$85.09	$129.04	$270.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $131.24 / $270.92	Facility		$85.09	$131.24	$270.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.05 / $415.98 / $1,114.76	Professional		$241.05	$415.98	$1,114.76
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 $85.09 / $129.04 / $270.92	Facility		$85.09	$129.04	$270.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $346.93 / $516.11	Professional		$246.60	$346.93	$516.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $622.16 / $622.16 / $622.16	Facility		$622.16	$622.16	$622.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $583.38 / $583.38 / $1,114.76	Professional		$583.38	$583.38	$1,114.76
United Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $342.92 / $1,061.73	Professional		$164.17	$342.92	$1,061.73