Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $1,894.00 / $14,482.00	Facility		$34.27	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $56.12 / $576.41	Professional		$34.27	$56.12	$576.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,395.00	Facility		$1,139.00	$2,479.00	$4,395.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $175.10 / $457.41	Professional		$65.89	$175.10	$457.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $90.23 / $214.04	Professional		$90.23	$90.23	$214.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $51.92 / $163.92	Facility		$34.27	$51.92	$163.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $2,683.00 / $4,793.00	Facility		$51.92	$2,683.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $152.81 / $273.13	Professional		$52.61	$152.81	$273.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $51.92 / $163.92	Facility		$34.27	$51.92	$163.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $885.03 / $1,274.14	Professional		$152.37	$885.03	$1,274.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,791.95 / $1,791.95 / $1,791.95	Facility		$1,791.95	$1,791.95	$1,791.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,277.39 / $2,023.30 / $2,023.30	Professional		$1,277.39	$2,023.30	$2,023.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $150.75 / $228.32	Professional		$50.54	$150.75	$228.32