Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.74 / $11,139.00 / $14,482.00	Facility		$349.74	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.74 / $634.67 / $1,131.83	Professional		$349.74	$634.67	$1,131.83
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 $540.70 / $1,341.09 / $3,820.89	Professional		$540.70	$1,341.09	$3,820.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.60 / $969.50 / $1,101.70	Professional		$819.60	$969.50	$1,101.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $349.74 / $793.35 / $1,698.22	Facility		$349.74	$793.35	$1,698.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.03 / $20,097.00 / $34,485.00	Facility		$1,011.03	$20,097.00	$34,485.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.41 / $1,794.88 / $3,071.77	Professional		$678.41	$1,794.88	$3,071.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $2,068.01	Professional		$50.00	$58.40	$2,068.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $349.74 / $793.35 / $1,698.22	Facility		$349.74	$793.35	$1,698.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $946.85 / $1,737.73 / $2,423.30	Professional		$946.85	$1,737.73	$2,423.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,079.68 / $6,079.68 / $6,079.68	Facility		$6,079.68	$6,079.68	$6,079.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,013.70 / $4,516.80 / $4,516.80	Professional		$3,013.70	$4,516.80	$4,516.80
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 $755.43 / $1,795.52 / $2,682.31	Professional		$755.43	$1,795.52	$2,682.31