Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.19 / $492.19 / $14,482.00	Facility		$492.19	$492.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $508.88 / $792.90	Professional		$294.39	$508.88	$792.90
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 $418.14 / $1,236.68 / $2,966.35	Professional		$418.14	$1,236.68	$2,966.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.10 / $816.03 / $816.03	Professional		$718.10	$816.03	$816.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $492.19 / $733.36 / $1,093.00	Facility		$492.19	$733.36	$1,093.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.88 / $859.26 / $1,789.00	Facility		$508.88	$859.26	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.56 / $832.96 / $6,080.10	Professional		$481.56	$832.96	$6,080.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,025.10	Professional		$50.00	$58.40	$1,025.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $492.19 / $733.36 / $1,093.00	Facility		$492.19	$733.36	$1,093.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.35 / $1,409.59 / $1,965.70	Professional		$772.35	$1,409.59	$1,965.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,149.56 / $3,149.56 / $3,149.56	Facility		$3,149.56	$3,149.56	$3,149.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,147.71 / $5,144.41 / $6,080.10	Professional		$3,147.71	$5,144.41	$6,080.10
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 $481.56 / $897.22 / $1,847.55	Professional		$481.56	$897.22	$1,847.55