Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $717.16 / $1,894.00	Facility		$45.89	$717.16	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $132.22	Professional		$45.89	$127.09	$132.22
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 $475.58 / $627.07 / $2,018.12	Professional		$475.58	$627.07	$2,018.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.84 / $417.00 / $639.69	Facility		$356.84	$417.00	$639.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $148.50 / $185.63	Professional		$122.50	$148.50	$185.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $194.45	Facility		$45.89	$127.09	$194.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $3,995.00	Facility		$45.89	$127.09	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $202.96 / $202.96	Professional		$202.96	$202.96	$202.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,131.94	Professional		$50.00	$65.00	$1,131.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $190.64	Facility		$45.89	$127.09	$190.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $763.85 / $763.85 / $763.85	Facility		$763.85	$763.85	$763.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $202.96 / $202.96	Professional		$202.96	$202.96	$202.96