Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $529.75 / $14,482.00	Facility		$529.75	$529.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.75 / $586.04 / $1,142.95	Professional		$529.75	$586.04	$1,142.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,755.00 / $14,305.00 / $21,606.00	Facility		$8,755.00	$14,305.00	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.78 / $1,357.73 / $3,290.05	Professional		$465.78	$1,357.73	$3,290.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.01 / $910.24 / $910.24	Professional		$801.01	$910.24	$910.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $789.33 / $1,095.86	Facility		$529.75	$789.33	$1,095.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.55 / $916.00 / $1,789.00	Facility		$547.55	$916.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $1,525.34 / $6,428.56	Professional		$242.80	$1,525.34	$6,428.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,660.00	Professional		$50.00	$58.40	$1,660.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $789.33 / $1,095.86	Facility		$529.75	$789.33	$1,095.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $846.41 / $1,433.25 / $1,998.70	Professional		$846.41	$1,433.25	$1,998.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,389.44 / $3,389.44 / $3,389.44	Facility		$3,389.44	$3,389.44	$3,389.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,348.77 / $5,097.05 / $6,428.56	Professional		$3,348.77	$5,097.05	$6,428.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $242.80 / $1,299.35 / $2,371.46	Professional		$242.80	$1,299.35	$2,371.46