Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.73 / $8,243.00 / $14,482.00	Facility		$222.73	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $364.63 / $922.38	Professional		$222.73	$364.63	$922.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.38 / $1,785.90 / $5,299.18	Professional		$786.38	$1,785.90	$5,299.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.99 / $1,076.99 / $1,076.99	Professional		$1,076.99	$1,076.99	$1,076.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $222.73 / $394.46 / $1,097.26	Facility		$222.73	$394.46	$1,097.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $420.76 / $12,498.00 / $21,161.20	Facility		$420.76	$12,498.00	$21,161.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $952.74 / $2,405.67 / $4,463.76	Professional		$952.74	$2,405.67	$4,463.76
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 $222.73 / $394.46 / $1,097.26	Facility		$222.73	$394.46	$1,097.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $477.51 / $1,081.89 / $1,650.33	Professional		$477.51	$1,081.89	$1,650.33
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 $1,520.55 / $5,060.01 / $5,060.01	Professional		$1,520.55	$5,060.01	$5,060.01
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 $797.82 / $2,603.69 / $3,767.19	Professional		$797.82	$2,603.69	$3,767.19