Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.61 / $6,461.00 / $17,823.00	Facility		$526.61	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.61 / $861.83 / $999.85	Professional		$526.61	$861.83	$999.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.61 / $1,944.40 / $5,547.54	Professional		$861.61	$1,944.40	$5,547.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $1,039.25 / $1,039.25	Facility		$1,039.25	$1,039.25	$1,039.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $526.61 / $863.03 / $1,765.41	Facility		$526.61	$863.03	$1,765.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.13 / $999.85 / $5,261.00	Facility		$616.13	$999.85	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $949.00 / $1,889.38 / $6,755.28	Professional		$949.00	$1,889.38	$6,755.28
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 $526.61 / $861.83 / $1,765.41	Facility		$526.61	$861.83	$1,765.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,193.11 / $2,184.16 / $3,053.60	Professional		$1,193.11	$2,184.16	$3,053.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $5,373.50 / $5,373.50	Facility		$1,039.25	$5,373.50	$5,373.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,799.17 / $6,755.28 / $6,755.28	Professional		$3,799.17	$6,755.28	$6,755.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.76 / $1,889.38 / $4,469.55	Professional		$947.76	$1,889.38	$4,469.55