Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.59 / $154.59 / $17,823.00	Facility		$154.59	$154.59	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $220.88 / $379.20	Professional		$154.59	$220.88	$379.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.35 / $439.88 / $1,606.88	Professional		$192.35	$439.88	$1,606.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.45 / $325.42 / $369.80	Professional		$289.45	$325.42	$369.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.59 / $313.10 / $560.98	Facility		$154.59	$313.10	$560.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.02 / $379.20 / $3,104.11	Facility		$230.02	$379.20	$3,104.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $381.47 / $1,129.35	Professional		$220.08	$381.47	$1,129.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $670.35	Professional		$50.00	$58.40	$670.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.59 / $313.10 / $560.98	Facility		$154.59	$313.10	$560.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $579.77 / $808.50	Professional		$315.89	$579.77	$808.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,204.80 / $2,204.80 / $2,204.80	Facility		$2,204.80	$2,204.80	$2,204.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $998.42 / $1,742.48 / $1,742.48	Professional		$998.42	$1,742.48	$1,742.48
United Facility/Professional Facility Modifier Low / Median / High Price $944.50 / $944.50 / $961.98	Facility		$944.50	$944.50	$961.98
United Facility/Professional Professional Modifier Low / Median / High Price $214.73 / $442.06 / $963.42	Professional		$214.73	$442.06	$963.42