Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $151.54 / $14,482.00	Facility		$151.54	$151.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $167.66 / $289.18	Professional		$151.54	$167.66	$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 / $475.61 / $1,425.13	Professional		$246.56	$475.61	$1,425.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,276.77 / $24,276.77 / $24,276.77	Facility		$24,276.77	$24,276.77	$24,276.77
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 $151.54 / $229.57 / $378.85	Facility		$151.54	$229.57	$378.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.74 / $290.72 / $16,779.00	Facility		$156.74	$290.72	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $497.80 / $1,840.00	Professional		$289.76	$497.80	$1,840.00
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 $151.54 / $229.57 / $378.85	Facility		$151.54	$229.57	$378.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $583.10 / $831.60	Professional		$453.60	$583.10	$831.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,276.77 / $24,276.77 / $67,014.55	Facility		$24,276.77	$24,276.77	$67,014.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.91 / $1,236.00 / $1,840.00	Professional		$1,034.91	$1,236.00	$1,840.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.55 / $492.73 / $1,127.52	Professional		$281.55	$492.73	$1,127.52