Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.86 / $421.86 / $14,482.00	Facility		$421.86	$421.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $436.08 / $690.54	Professional		$224.97	$436.08	$690.54
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 $572.41 / $1,323.98 / $3,743.00	Professional		$572.41	$1,323.98	$3,743.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.96 / $2,637.76 / $2,637.76	Professional		$783.96	$2,637.76	$2,637.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $421.86 / $639.01 / $1,054.65	Facility		$421.86	$639.01	$1,054.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.08 / $759.91 / $7,565.00	Facility		$436.08	$759.91	$7,565.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $618.79 / $1,161.58 / $5,507.20	Professional		$618.79	$1,161.58	$5,507.20
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 $421.86 / $639.01 / $1,054.65	Facility		$421.86	$639.01	$1,054.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,201.30 / $1,744.68 / $2,488.19	Professional		$1,201.30	$1,744.68	$2,488.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,424.26 / $3,424.26 / $3,424.26	Facility		$3,424.26	$3,424.26	$3,424.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,097.31 / $3,097.31 / $5,507.20	Professional		$3,097.31	$3,097.31	$5,507.20
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 $372.85 / $1,169.59 / $2,629.45	Professional		$372.85	$1,169.59	$2,629.45