Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.20 / $11,139.00 / $14,482.00	Facility		$496.20	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.20 / $812.32 / $1,047.03	Professional		$496.20	$812.32	$1,047.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.83 / $1,832.13 / $5,760.46	Professional		$854.83	$1,832.13	$5,760.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,293.75 / $1,530.36 / $1,739.05	Professional		$1,293.75	$1,530.36	$1,739.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.20 / $968.36 / $1,734.99	Facility		$496.20	$968.36	$1,734.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,032.92 / $20,097.00 / $34,485.00	Facility		$1,032.92	$20,097.00	$34,485.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $2,832.19 / $4,840.30	Professional		$1,035.00	$2,832.19	$4,840.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $3,243.44	Professional		$50.00	$58.40	$3,243.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $496.20 / $968.36 / $1,734.99	Facility		$496.20	$968.36	$1,734.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $875.93 / $1,794.76 / $2,314.35	Professional		$875.93	$1,794.76	$2,314.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147,391.15 / $147,391.15 / $147,391.15	Facility		$147,391.15	$147,391.15	$147,391.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.37 / $6,024.96 / $6,024.96	Professional		$3,388.37	$6,024.96	$6,024.96
United Facility/Professional Facility Modifier Low / Median / High Price $13,676.00 / $21,823.00 / $27,528.00	Facility		$13,676.00	$21,823.00	$27,528.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.29 / $2,948.85 / $4,226.62	Professional		$1,026.29	$2,948.85	$4,226.62