Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.87 / $342.87 / $17,823.00	Facility		$342.87	$342.87	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $558.60 / $2,111.71	Professional		$342.87	$558.60	$2,111.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $11,302.00 / $14,586.00	Facility		$10,878.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.16 / $3,031.25 / $10,192.90	Professional		$1,134.16	$3,031.25	$10,192.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.32 / $2,465.32 / $5,115.10	Professional		$2,465.32	$2,465.32	$5,115.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $342.87 / $519.37 / $1,087.49	Facility		$342.87	$519.37	$1,087.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.37 / $5,558.00 / $8,783.00	Facility		$519.37	$5,558.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,125.66 / $3,980.46 / $7,815.51	Professional		$2,125.66	$3,980.46	$7,815.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $342.87 / $519.37 / $1,087.49	Facility		$342.87	$519.37	$1,087.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $734.96 / $1,348.85 / $3,777.76	Professional		$734.96	$1,348.85	$3,777.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,298.80 / $5,298.80 / $5,298.80	Facility		$5,298.80	$5,298.80	$5,298.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,341.21 / $7,018.38 / $7,018.38	Professional		$2,341.21	$7,018.38	$7,018.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.66 / $3,980.46 / $7,815.51	Professional		$1,826.66	$3,980.46	$7,815.51