Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $6,461.00 / $14,482.00	Facility		$116.55	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $178.81 / $298.48	Professional		$116.55	$178.81	$298.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $512.75 / $1,076.69	Professional		$186.55	$512.75	$1,076.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.44 / $879.28 / $1,418.25	Facility		$752.44	$879.28	$1,418.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.13 / $331.91 / $391.41	Professional		$313.13	$331.91	$391.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $176.53 / $422.28	Facility		$116.55	$176.53	$422.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $3,583.00 / $6,312.00	Facility		$176.53	$3,583.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $448.10 / $995.07	Professional		$211.96	$448.10	$995.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $678.41	Professional		$50.00	$58.40	$678.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $176.53 / $422.28	Facility		$116.55	$176.53	$422.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $458.29 / $659.78	Professional		$249.71	$458.29	$659.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,725.95 / $4,725.95 / $4,725.95	Facility		$4,725.95	$4,725.95	$4,725.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.75 / $896.20 / $1,413.36	Professional		$794.75	$896.20	$1,413.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $451.35 / $870.91	Professional		$207.36	$451.35	$870.91