Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $8,243.00 / $14,482.00	Facility		$210.50	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $344.62 / $538.96	Professional		$210.50	$344.62	$538.96
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 $391.04 / $777.23 / $2,517.64	Professional		$391.04	$777.23	$2,517.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.60 / $535.60 / $535.60	Professional		$535.60	$535.60	$535.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $372.80 / $667.94	Facility		$210.50	$372.80	$667.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.66 / $12,498.00 / $21,161.20	Facility		$397.66	$12,498.00	$21,161.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.63 / $1,294.67 / $2,201.52	Professional		$473.63	$1,294.67	$2,201.52
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 $210.50 / $372.80 / $667.94	Facility		$210.50	$372.80	$667.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $450.86 / $827.45 / $1,191.24	Professional		$450.86	$827.45	$1,191.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,765.90 / $37,765.90 / $37,765.90	Facility		$37,765.90	$37,765.90	$37,765.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,436.90 / $2,201.52 / $2,201.52	Professional		$1,436.90	$2,201.52	$2,201.52
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.58 / $1,294.67 / $1,937.66	Professional		$434.58	$1,294.67	$1,937.66