Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $6,461.00 / $14,482.00	Facility		$382.00	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.46 / $382.00 / $978.68	Professional		$243.46	$382.00	$978.68
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 $218.28 / $541.40 / $1,571.99	Professional		$218.28	$541.40	$1,571.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Professional		$298.85	$298.85	$298.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $304.33 / $443.88 / $745.58	Facility		$304.33	$443.88	$745.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.63 / $7,600.80 / $12,631.00	Facility		$578.63	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $721.45 / $1,297.40	Professional		$273.20	$721.45	$1,297.40
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 $304.33 / $443.88 / $745.58	Facility		$304.33	$443.88	$745.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.72 / $1,502.66 / $2,095.50	Professional		$503.72	$1,502.66	$2,095.50
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 $2,605.82 / $4,633.35 / $4,633.35	Professional		$2,605.82	$4,633.35	$4,633.35
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 $303.80 / $779.60 / $1,126.15	Professional		$303.80	$779.60	$1,126.15