Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.18 / $11,139.00 / $14,482.00	Facility		$488.18	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.18 / $769.36 / $1,538.72	Professional		$488.18	$769.36	$1,538.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $11,783.00 / $19,639.00	Facility		$8,139.00	$11,783.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.18 / $2,082.69 / $6,457.04	Professional		$934.18	$2,082.69	$6,457.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.84 / $1,906.64 / $1,906.64	Professional		$1,677.84	$1,906.64	$1,906.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.18 / $891.44 / $1,597.17	Facility		$488.18	$891.44	$1,597.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $739.49 / $7,081.00 / $13,918.00	Facility		$739.49	$7,081.00	$13,918.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,134.73 / $2,675.06 / $5,237.17	Professional		$1,134.73	$2,675.06	$5,237.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $3,662.71	Professional		$50.00	$58.40	$3,662.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.18 / $891.44 / $1,597.17	Facility		$488.18	$891.44	$1,597.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,867.34 / $2,362.46 / $3,383.62	Professional		$1,867.34	$2,362.46	$3,383.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,915.20 / $14,915.20 / $14,915.20	Facility		$14,915.20	$14,915.20	$14,915.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,432.55 / $4,728.05 / $6,468.32	Professional		$4,432.55	$4,728.05	$6,468.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,037.22 / $2,764.79 / $4,193.26	Professional		$1,037.22	$2,764.79	$4,193.26