Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.87 / $1,894.00 / $14,482.00	Facility		$266.87	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.87 / $293.41 / $405.27	Professional		$266.87	$293.41	$405.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.77 / $926.33 / $1,817.46	Professional		$464.77	$926.33	$1,817.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.24 / $833.81 / $947.51	Professional		$623.24	$833.81	$947.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $266.87 / $387.24 / $650.44	Facility		$266.87	$387.24	$650.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.24 / $2,683.00 / $4,793.00	Facility		$312.24	$2,683.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.56 / $968.24 / $1,665.10	Professional		$380.56	$968.24	$1,665.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,581.37	Professional		$50.00	$70.00	$1,581.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $266.87 / $387.24 / $650.44	Facility		$266.87	$387.24	$650.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $439.69 / $806.94 / $1,161.72	Professional		$439.69	$806.94	$1,161.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,023.12 / $3,023.12 / $3,023.12	Facility		$3,023.12	$3,023.12	$3,023.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $1,463.70 / $2,375.60	Professional		$611.66	$1,463.70	$2,375.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.56 / $980.68 / $1,373.25	Professional		$380.56	$980.68	$1,373.25