Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.52 / $11,139.00 / $14,482.00	Facility		$602.52	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.52 / $986.24 / $2,013.95	Professional		$602.52	$986.24	$2,013.95
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 $1,125.27 / $2,458.34 / $7,989.25	Professional		$1,125.27	$2,458.34	$7,989.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,022.54 / $2,298.34 / $2,298.34	Professional		$2,022.54	$2,298.34	$2,298.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.52 / $1,246.05 / $2,652.86	Facility		$602.52	$1,246.05	$2,652.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.66 / $7,081.00 / $13,918.00	Facility		$912.66	$7,081.00	$13,918.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,481.84 / $3,134.67 / $6,313.11	Professional		$1,481.84	$3,134.67	$6,313.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $4,400.43	Professional		$50.00	$58.40	$4,400.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $602.52 / $1,246.05 / $2,652.86	Facility		$602.52	$1,246.05	$2,652.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,243.41 / $3,092.10 / $4,312.00	Professional		$2,243.41	$3,092.10	$4,312.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,215.80 / $21,215.80 / $21,215.80	Facility		$21,215.80	$21,215.80	$21,215.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,365.71 / $5,699.40 / $8,003.36	Professional		$5,365.71	$5,699.40	$8,003.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,953.00 / $12,631.00	Facility		$6,073.00	$9,953.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.32 / $3,347.27 / $5,489.89	Professional		$1,356.32	$3,347.27	$5,489.89