Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.35 / $3,119.00 / $17,823.00	Facility		$82.35	$3,119.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $134.90 / $156.88	Professional		$82.35	$134.90	$156.88
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 $134.74 / $292.66 / $823.73	Professional		$134.74	$292.66	$823.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $163.60 / $163.60	Facility		$163.60	$163.60	$163.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $679.76	Professional		$679.76	$679.76	$679.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.35 / $135.44 / $277.44	Facility		$82.35	$135.44	$277.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.35 / $156.88 / $5,261.00	Facility		$96.35	$156.88	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $296.44 / $1,063.52	Professional		$148.90	$296.44	$1,063.52
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 $82.35 / $134.90 / $277.44	Facility		$82.35	$134.90	$277.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.39 / $335.72 / $479.60	Professional		$187.39	$335.72	$479.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $10,639.60 / $10,639.60	Facility		$163.60	$10,639.60	$10,639.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $598.14 / $1,063.52 / $1,063.52	Professional		$598.14	$1,063.52	$1,063.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,242.00 / $6,564.00	Facility		$2,883.00	$3,242.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $296.44 / $701.26	Professional		$148.69	$296.44	$701.26