Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.17 / $775.17 / $14,482.00	Facility		$775.17	$775.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $801.25 / $1,268.83	Professional		$224.97	$801.25	$1,268.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,755.00 / $15,278.00 / $22,428.00	Facility		$8,755.00	$15,278.00	$22,428.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.15 / $2,170.08 / $7,213.57	Professional		$1,103.15	$2,170.08	$7,213.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.74 / $5,134.95 / $5,134.95	Professional		$1,510.74	$5,134.95	$5,134.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $775.17 / $1,174.19 / $2,590.73	Facility		$775.17	$1,174.19	$2,590.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.25 / $1,539.84 / $7,565.00	Facility		$801.25	$1,539.84	$7,565.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,336.70 / $2,556.67 / $8,918.24	Professional		$1,336.70	$2,556.67	$8,918.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $775.17 / $1,162.76 / $2,590.73	Facility		$775.17	$1,162.76	$2,590.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,314.98 / $3,345.90 / $4,771.80	Professional		$2,314.98	$3,345.90	$4,771.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,566.93 / $6,566.93 / $6,566.93	Facility		$6,566.93	$6,566.93	$6,566.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,015.52 / $5,134.95 / $8,918.24	Professional		$5,015.52	$5,134.95	$8,918.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.06 / $2,506.32 / $5,285.56	Professional		$1,260.06	$2,506.32	$5,285.56