Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $98.81 / $17,823.00	Facility		$98.81	$98.81	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $98.81 / $253.29	Professional		$84.00	$98.81	$253.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $306.00 / $724.02	Professional		$146.66	$306.00	$724.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $285.43 / $285.43	Professional		$251.17	$285.43	$285.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $170.88 / $313.52	Facility		$98.81	$170.88	$313.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.68 / $8,225.90 / $15,702.00	Facility		$149.68	$8,225.90	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $473.69 / $885.31	Professional		$168.42	$473.69	$885.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $514.95	Professional		$50.00	$58.40	$514.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $170.88 / $313.52	Facility		$98.81	$170.88	$313.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $388.88 / $542.29	Professional		$262.56	$388.88	$542.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,266.70 / $14,266.70 / $14,266.70	Facility		$14,266.70	$14,266.70	$14,266.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.46 / $707.80 / $1,199.44	Professional		$674.46	$707.80	$1,199.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $473.69 / $743.63	Professional		$155.19	$473.69	$743.63