Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.80 / $11,139.00 / $14,482.00	Facility		$221.80	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.80 / $362.97 / $568.22	Professional		$221.80	$362.97	$568.22
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 $342.84 / $818.97 / $2,310.30	Professional		$342.84	$818.97	$2,310.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.47 / $469.47 / $469.47	Professional		$469.47	$469.47	$469.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $221.80 / $392.95 / $704.04	Facility		$221.80	$392.95	$704.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.15 / $20,097.00 / $34,485.00	Facility		$419.15	$20,097.00	$34,485.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $415.34 / $1,134.98 / $1,945.94	Professional		$415.34	$1,134.98	$1,945.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $221.80 / $392.95 / $704.04	Facility		$221.80	$392.95	$704.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $475.36 / $872.41 / $1,216.59	Professional		$475.36	$872.41	$1,216.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $119,557.40 / $119,557.40 / $119,557.40	Facility		$119,557.40	$119,557.40	$119,557.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,514.66 / $2,693.36 / $2,693.36	Professional		$1,514.66	$2,693.36	$2,693.36
United Facility/Professional Facility Modifier Low / Median / High Price $13,676.00 / $23,010.00 / $33,032.00	Facility		$13,676.00	$23,010.00	$33,032.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.90 / $1,134.98 / $1,699.23	Professional		$402.90	$1,134.98	$1,699.23