Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.81 / $627.00 / $2,152.61	Facility		$351.81	$627.00	$2,152.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $947.45 / $4,014.43	Professional		$627.00	$947.45	$4,014.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $905.20 / $3,387.98	Professional		$325.20	$905.20	$3,387.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,617.51 / $1,890.19 / $3,048.81	Facility		$1,617.51	$1,890.19	$3,048.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.82 / $959.63 / $2,378.11	Professional		$397.82	$959.63	$2,378.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.63 / $390.72 / $1,154.14	Facility		$187.63	$390.72	$1,154.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.14 / $1,214.59 / $16,779.00	Facility		$200.14	$1,214.59	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $889.40 / $2,551.14 / $4,223.62	Professional		$889.40	$2,551.14	$4,223.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $627.34 / $1,482.12	Professional		$85.00	$627.34	$1,482.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.63 / $390.72 / $1,154.14	Facility		$187.63	$390.72	$1,154.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $781.64 / $2,011.15	Professional		$417.34	$781.64	$2,011.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,115.36 / $1,115.36 / $1,115.36	Facility		$1,115.36	$1,115.36	$1,115.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.85 / $2,620.59 / $4,455.57	Professional		$870.85	$2,620.59	$4,455.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $5,729.00 / $5,729.00	Facility		$5,729.00	$5,729.00	$5,729.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.90 / $2,170.48 / $3,666.12	Professional		$731.90	$2,170.48	$3,666.12