Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $738.40 / $31,377.08	Facility		$738.40	$738.40	$31,377.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $738.40 / $923.00	Professional		$738.40	$738.40	$923.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $922.54 / $1,072.14 / $1,112.03	Facility		$922.54	$1,072.14	$1,112.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $769.17	Professional		$769.17	$769.17	$769.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.01 / $503.91 / $784.55	Facility		$313.01	$503.91	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $923.00	Professional		$784.55	$784.55	$923.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $738.40 / $923.00	Facility		$738.40	$738.40	$923.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.67 / $738.40 / $923.00	Facility		$498.67	$738.40	$923.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $1,153.76	Professional		$769.17	$769.17	$1,153.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $16,610.88	Professional		$70.00	$85.00	$16,610.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $766.09 / $923.00	Facility		$738.40	$766.09	$923.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $3,300.00 / $3,300.00	Facility		$3,300.00	$3,300.00	$3,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $978.38 / $3,344.00	Professional		$784.55	$978.38	$3,344.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $1,053.15	Professional		$769.17	$769.17	$1,053.15