Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.21 / $3,119.00 / $14,482.00	Facility		$882.21	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.21 / $1,350.37 / $2,260.54	Professional		$882.21	$1,350.37	$2,260.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,441.68 / $3,844.99 / $8,777.50	Professional		$1,441.68	$3,844.99	$8,777.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.98 / $2,401.98 / $2,729.54	Professional		$2,401.98	$2,401.98	$2,729.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $882.21 / $1,336.34 / $3,009.55	Facility		$882.21	$1,336.34	$3,009.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,336.34 / $3,009.55 / $7,868.00	Facility		$1,336.34	$3,009.55	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,599.78 / $3,121.72 / $7,158.68	Professional		$1,599.78	$3,121.72	$7,158.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $5,123.53	Professional		$50.00	$58.40	$5,123.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $882.21 / $1,336.34 / $3,009.55	Facility		$882.21	$1,336.34	$3,009.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,891.12 / $3,470.72 / $4,996.64	Professional		$1,891.12	$3,470.72	$4,996.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,222.79 / $10,222.79 / $10,222.79	Facility		$10,222.79	$10,222.79	$10,222.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,023.03 / $6,768.70 / $10,709.60	Professional		$6,023.03	$6,768.70	$10,709.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,576.57 / $3,407.96 / $6,400.98	Professional		$1,576.57	$3,407.96	$6,400.98