Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $6,461.00 / $14,482.00	Facility		$131.94	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $215.97 / $334.97	Professional		$131.94	$215.97	$334.97
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 $202.50 / $508.66 / $1,546.01	Professional		$202.50	$508.66	$1,546.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $363.22 / $412.75	Professional		$307.07	$363.22	$412.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $231.37 / $414.54	Facility		$131.94	$231.37	$414.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.80 / $7,600.80 / $12,631.00	Facility		$246.80	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.65 / $672.22 / $1,150.85	Professional		$245.65	$672.22	$1,150.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $774.71	Professional		$50.00	$58.40	$774.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $231.37 / $414.54	Facility		$131.94	$231.37	$414.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $280.23 / $514.29 / $717.20	Professional		$280.23	$514.29	$717.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,087.00 / $1,087.00 / $1,087.00	Facility		$1,087.00	$1,087.00	$1,087.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $960.57 / $1,708.08 / $1,708.08	Professional		$960.57	$1,708.08	$1,708.08
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 $243.56 / $678.18 / $1,047.69	Professional		$243.56	$678.18	$1,047.69