Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.43 / $168.43 / $14,482.00	Facility		$168.43	$168.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $186.33 / $289.18	Professional		$168.43	$186.33	$289.18
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 $246.56 / $615.54 / $1,477.06	Professional		$246.56	$615.54	$1,477.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,191.37 / $23,191.37 / $23,191.37	Facility		$23,191.37	$23,191.37	$23,191.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.69 / $1,236.00 / $1,236.00	Professional		$337.69	$1,236.00	$1,236.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.43 / $254.58 / $421.08	Facility		$168.43	$254.58	$421.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.09 / $303.17 / $16,779.00	Facility		$174.09	$303.17	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $497.80 / $2,043.68	Professional		$289.76	$497.80	$2,043.68
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 $168.43 / $252.65 / $421.08	Facility		$168.43	$252.65	$421.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.20 / $587.73 / $838.20	Professional		$457.20	$587.73	$838.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,191.37 / $23,191.37 / $64,018.40	Facility		$23,191.37	$23,191.37	$64,018.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,149.30 / $1,236.00 / $2,043.68	Professional		$1,149.30	$1,236.00	$2,043.68
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.86 / $497.80 / $1,127.52	Professional		$284.86	$497.80	$1,127.52