Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.04 / $392.04 / $17,823.00	Facility		$392.04	$392.04	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $390.00 / $496.58	Professional		$334.78	$390.00	$496.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.92 / $696.95 / $2,056.31	Professional		$305.92	$696.95	$2,056.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $408.44 / $408.44	Facility		$408.44	$408.44	$408.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.47 / $1,327.43 / $1,508.44	Professional		$461.47	$1,327.43	$1,508.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $414.54 / $747.31	Facility		$343.38	$414.54	$747.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.84 / $517.71 / $5,887.00	Facility		$345.84	$517.71	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.44 / $741.54 / $3,489.84	Professional		$363.44	$741.54	$3,489.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $763.28	Professional		$50.00	$70.00	$763.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $345.84 / $428.86 / $747.31	Facility		$345.84	$428.86	$747.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.63 / $863.74 / $1,243.48	Professional		$470.63	$863.74	$1,243.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $2,619.00 / $2,619.00	Facility		$408.44	$2,619.00	$2,619.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $2,986.50 / $3,489.84	Professional		$634.70	$2,986.50	$3,489.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $741.54 / $1,487.37	Professional		$361.62	$741.54	$1,487.37