Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.23 / $6,461.00 / $14,482.00	Facility		$305.23	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $499.51 / $739.32	Professional		$305.23	$499.51	$739.32
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 $496.74 / $1,127.02 / $3,347.39	Professional		$496.74	$1,127.02	$3,347.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.31 / $680.31 / $680.31	Professional		$680.31	$680.31	$680.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $305.23 / $692.38 / $1,564.02	Facility		$305.23	$692.38	$1,564.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $739.32 / $7,600.80 / $12,631.00	Facility		$739.32	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.55 / $1,644.57 / $2,819.10	Professional		$622.55	$1,644.57	$2,819.10
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 $305.23 / $692.38 / $1,564.02	Facility		$305.23	$692.38	$1,564.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $618.48 / $1,135.08 / $1,634.13	Professional		$618.48	$1,135.08	$1,634.13
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 $2,085.44 / $3,708.24 / $3,708.24	Professional		$2,085.44	$3,708.24	$3,708.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.76 / $1,715.32 / $2,379.31	Professional		$598.76	$1,715.32	$2,379.31