Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $6,461.00 / $14,482.00	Facility		$141.74	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $232.04 / $397.65	Professional		$141.74	$232.04	$397.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.28 / $523.34 / $1,470.92	Professional		$218.28	$523.34	$1,470.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Professional		$298.85	$298.85	$298.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $292.08 / $523.30	Facility		$141.74	$292.08	$523.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.55 / $7,600.80 / $12,631.00	Facility		$311.55	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.66 / $721.45 / $1,237.09	Professional		$269.66	$721.45	$1,237.09
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 $141.74 / $292.08 / $523.30	Facility		$141.74	$292.08	$523.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $332.67 / $610.53 / $851.40	Professional		$332.67	$610.53	$851.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,082.10 / $11,082.10 / $11,082.10	Facility		$11,082.10	$11,082.10	$11,082.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,059.34 / $1,883.60 / $1,883.60	Professional		$1,059.34	$1,883.60	$1,883.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.05 / $721.45 / $1,043.97	Professional		$264.05	$721.45	$1,043.97