Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.29 / $8,243.00 / $14,482.00	Facility		$216.29	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $216.29 / $582.07	Professional		$55.87	$216.29	$582.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $302.94 / $859.32	Professional		$47.84	$302.94	$859.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $65.66 / $65.66	Professional		$65.66	$65.66	$65.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.29 / $402.44 / $721.05	Facility		$216.29	$402.44	$721.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $429.27 / $12,498.00 / $21,161.20	Facility		$429.27	$12,498.00	$21,161.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $159.32 / $335.37	Professional		$59.71	$159.32	$335.37
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 $216.29 / $402.44 / $721.05	Facility		$216.29	$402.44	$721.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $893.71 / $1,246.30	Professional		$110.88	$893.71	$1,246.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,689.10 / $39,689.10 / $39,689.10	Facility		$39,689.10	$39,689.10	$39,689.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,550.84 / $2,757.36 / $2,757.36	Professional		$1,550.84	$2,757.36	$2,757.36
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $179.14 / $335.37	Professional		$66.40	$179.14	$335.37