Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $138.59 / $14,482.00	Facility		$138.59	$138.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $153.31 / $260.17	Professional		$138.59	$153.31	$260.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $452.55 / $1,445.89	Professional		$225.30	$452.55	$1,445.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,995.10 / $3,995.10 / $3,995.10	Facility		$3,995.10	$3,995.10	$3,995.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.05 / $384.05 / $436.43	Professional		$384.05	$384.05	$436.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $209.92 / $463.95	Facility		$138.59	$209.92	$463.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $347.96 / $11,598.00	Facility		$143.16	$347.96	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.56 / $432.90 / $1,866.96	Professional		$257.56	$432.90	$1,866.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $819.22	Professional		$50.00	$58.40	$819.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $209.92 / $463.95	Facility		$138.59	$209.92	$463.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $496.33 / $772.24 / $1,076.90	Professional		$496.33	$772.24	$1,076.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,995.10 / $3,995.10 / $11,028.25	Facility		$3,995.10	$3,995.10	$11,028.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,341.09 / $1,341.09 / $1,866.96	Professional		$1,341.09	$1,341.09	$1,866.96
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 $257.56 / $432.90 / $974.03	Professional		$257.56	$432.90	$974.03