Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $6,461.00 / $14,482.00	Facility		$214.29	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $350.87 / $541.49	Professional		$214.29	$350.87	$541.49
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 $330.98 / $831.43 / $2,338.92	Professional		$330.98	$831.43	$2,338.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.47 / $593.17 / $674.06	Professional		$501.47	$593.17	$674.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $374.05 / $670.18	Facility		$214.29	$374.05	$670.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.99 / $7,600.80 / $12,631.00	Facility		$398.99	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.17 / $1,098.01 / $1,879.42	Professional		$401.17	$1,098.01	$1,879.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,265.16	Professional		$50.00	$58.40	$1,265.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $374.05 / $670.18	Facility		$214.29	$374.05	$670.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.01 / $831.40 / $1,161.80	Professional		$453.01	$831.40	$1,161.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,204.69 / $2,204.69 / $2,204.69	Facility		$2,204.69	$2,204.69	$2,204.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,558.71 / $2,771.60 / $2,771.60	Professional		$1,558.71	$2,771.60	$2,771.60
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 $401.17 / $1,184.40 / $1,487.68	Professional		$401.17	$1,184.40	$1,487.68