Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $8,243.00 / $14,482.00	Facility		$312.81	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $511.98 / $730.60	Professional		$312.81	$511.98	$730.60
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 $691.31 / $1,394.99 / $3,023.73	Professional		$691.31	$1,394.99	$3,023.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.52 / $860.57 / $977.93	Professional		$727.52	$860.57	$977.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $504.83 / $904.48	Facility		$312.81	$504.83	$904.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.48 / $20,097.00 / $31,762.00	Facility		$538.48	$20,097.00	$31,762.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.01 / $1,591.57 / $2,722.27	Professional		$582.01	$1,591.57	$2,722.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,822.55	Professional		$50.00	$58.40	$1,822.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $504.83 / $904.48	Facility		$312.81	$504.83	$904.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $611.17 / $1,121.67 / $1,614.82	Professional		$611.17	$1,121.67	$1,614.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87,953.00 / $87,953.00 / $87,953.00	Facility		$87,953.00	$87,953.00	$87,953.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,135.34 / $3,796.64 / $3,796.64	Professional		$2,135.34	$3,796.64	$3,796.64
United Facility/Professional Facility Modifier Low / Median / High Price $13,528.00 / $21,823.00 / $27,528.00	Facility		$13,528.00	$21,823.00	$27,528.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.09 / $1,661.52 / $2,722.27	Professional		$577.09	$1,661.52	$2,722.27