Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.60 / $1,894.00 / $17,823.00	Facility		$183.60	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $289.98 / $331.02	Professional		$183.60	$289.98	$331.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $536.05 / $1,726.98	Professional		$256.54	$536.05	$1,726.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $363.80 / $363.80	Facility		$363.80	$363.80	$363.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.60 / $293.12 / $622.08	Facility		$183.60	$293.12	$622.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $334.16 / $4,901.45	Facility		$194.37	$334.16	$4,901.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.63 / $625.51 / $2,229.60	Professional		$315.63	$625.51	$2,229.60
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 $183.60 / $289.98 / $622.08	Facility		$183.60	$289.98	$622.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $393.70 / $705.32 / $1,007.60	Professional		$393.70	$705.32	$1,007.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $4,901.45 / $4,901.45	Facility		$363.80	$4,901.45	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,254.02 / $2,229.60 / $2,229.60	Professional		$1,254.02	$2,229.60	$2,229.60
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 $315.43 / $635.94 / $1,288.85	Professional		$315.43	$635.94	$1,288.85