Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $151.54 / $17,823.00	Facility		$151.54	$151.54	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $246.97 / $777.33	Professional		$151.54	$246.97	$777.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.01 / $1,126.86 / $4,644.00	Professional		$394.01	$1,126.86	$4,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.24 / $907.24 / $1,502.95	Professional		$907.24	$907.24	$1,502.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $229.57 / $480.85	Facility		$151.54	$229.57	$480.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.57 / $8,225.90 / $15,743.00	Facility		$229.57	$8,225.90	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.59 / $1,384.91 / $2,583.10	Professional		$788.59	$1,384.91	$2,583.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $229.57 / $480.85	Facility		$151.54	$229.57	$480.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.93 / $604.95 / $1,531.98	Professional		$324.93	$604.95	$1,531.98
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 $1,034.91 / $2,470.02 / $2,470.02	Professional		$1,034.91	$2,470.02	$2,470.02
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 $626.84 / $1,341.89 / $2,583.10	Professional		$626.84	$1,341.89	$2,583.10