Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.98 / $6,461.00 / $14,482.00	Facility		$284.98	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.98 / $466.35 / $729.56	Professional		$284.98	$466.35	$729.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.01 / $1,092.74 / $3,074.08	Professional		$435.01	$1,092.74	$3,074.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.73 / $780.40 / $886.81	Professional		$659.73	$780.40	$886.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $284.98 / $504.07 / $903.13	Facility		$284.98	$504.07	$903.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.67 / $12,498.00 / $21,161.20	Facility		$537.67	$12,498.00	$21,161.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.78 / $1,444.77 / $2,472.62	Professional		$527.78	$1,444.77	$2,472.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,664.61	Professional		$50.00	$58.40	$1,664.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $284.98 / $504.07 / $903.13	Facility		$284.98	$504.07	$903.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $610.32 / $1,120.09 / $1,562.00	Professional		$610.32	$1,120.09	$1,562.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,401.28 / $4,401.28 / $4,401.28	Facility		$4,401.28	$4,401.28	$4,401.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,945.08 / $3,458.40 / $3,458.40	Professional		$1,945.08	$3,458.40	$3,458.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $21,161.20	Facility		$8,650.00	$14,566.00	$21,161.20
United Facility/Professional Professional Modifier Low / Median / High Price $523.34 / $1,363.95 / $2,250.96	Professional		$523.34	$1,363.95	$2,250.96