Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.61 / $1,709.52 / $14,482.00	Facility		$598.61	$1,709.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.60 / $512.77 / $601.45	Professional		$235.60	$512.77	$601.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $13,919.00 / $24,485.00	Facility		$1,183.00	$13,919.00	$24,485.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $1,232.06 / $2,283.40	Professional		$496.74	$1,232.06	$2,283.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.98 / $1,548.69 / $1,759.88	Professional		$749.98	$1,548.69	$1,759.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $580.49 / $665.95 / $1,040.04	Facility		$580.49	$665.95	$1,040.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.49 / $1,198.00 / $2,043.20	Facility		$580.49	$1,198.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,003.04 / $4,003.04 / $4,003.04	Professional		$4,003.04	$4,003.04	$4,003.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $580.49 / $665.95 / $1,040.04	Facility		$580.49	$665.95	$1,040.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $1,290.48 / $1,857.84	Professional		$703.15	$1,290.48	$1,857.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,476.61 / $2,476.61 / $2,476.61	Facility		$2,476.61	$2,476.61	$2,476.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $775.43 / $2,352.30 / $4,003.04	Professional		$775.43	$2,352.30	$4,003.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90