Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.75 / $11,139.00 / $14,482.00	Facility		$234.75	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.75 / $384.33 / $570.30	Professional		$234.75	$384.33	$570.30
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 $381.26 / $866.79 / $2,569.17	Professional		$381.26	$866.79	$2,569.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.19 / $522.19 / $522.19	Professional		$522.19	$522.19	$522.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.75 / $393.71 / $705.39	Facility		$234.75	$393.71	$705.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.96 / $20,097.00 / $34,485.00	Facility		$419.96	$20,097.00	$34,485.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.23 / $1,263.45 / $2,165.63	Professional		$462.23	$1,263.45	$2,165.63
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 $234.75 / $393.71 / $705.39	Facility		$234.75	$393.71	$705.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $477.08 / $875.57 / $1,260.52	Professional		$477.08	$875.57	$1,260.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $106,712.10 / $106,712.10 / $106,712.10	Facility		$106,712.10	$106,712.10	$106,712.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,601.24 / $2,847.12 / $2,847.12	Professional		$1,601.24	$2,847.12	$2,847.12
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 $437.86 / $1,246.90 / $1,891.06	Professional		$437.86	$1,246.90	$1,891.06