Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.63 / $245.63 / $17,823.00	Facility		$245.63	$245.63	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $402.04 / $470.74	Professional		$245.63	$402.04	$470.74
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 $198.69 / $816.24 / $2,335.54	Professional		$198.69	$816.24	$2,335.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.63 / $400.36 / $778.97	Facility		$245.63	$400.36	$778.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.39 / $463.76 / $6,283.00	Facility		$287.39	$463.76	$6,283.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.32 / $861.39 / $2,980.40	Professional		$443.32	$861.39	$2,980.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $245.63 / $399.82 / $778.97	Facility		$245.63	$399.82	$778.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $526.08 / $963.04 / $1,389.97	Professional		$526.08	$963.04	$1,389.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,793.60 / $3,793.60 / $3,793.60	Facility		$3,793.60	$3,793.60	$3,793.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,676.07 / $2,980.40 / $2,980.40	Professional		$1,676.07	$2,980.40	$2,980.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.47 / $815.66 / $1,839.79	Professional		$439.47	$815.66	$1,839.79