Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $6,461.00 / $14,482.00	Facility		$250.78	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $410.59 / $642.23	Professional		$250.78	$410.59	$642.23
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 $382.07 / $947.64 / $2,699.92	Professional		$382.07	$947.64	$2,699.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.27 / $685.20 / $778.64	Professional		$579.27	$685.20	$778.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $443.75 / $795.05	Facility		$250.78	$443.75	$795.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.33 / $7,600.80 / $12,631.00	Facility		$473.33	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $463.42 / $1,268.64 / $2,171.06	Professional		$463.42	$1,268.64	$2,171.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,461.62	Professional		$50.00	$58.40	$1,461.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $443.75 / $795.05	Facility		$250.78	$443.75	$795.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $986.00 / $1,375.00	Professional		$537.25	$986.00	$1,375.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,871.52 / $3,871.52 / $3,871.52	Facility		$3,871.52	$3,871.52	$3,871.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,710.81 / $3,041.92 / $3,041.92	Professional		$1,710.81	$3,041.92	$3,041.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.52 / $1,268.64 / $1,895.80	Professional		$459.52	$1,268.64	$1,895.80