Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.08 / $262.08 / $17,823.00	Facility		$262.08	$262.08	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $428.95 / $502.66	Professional		$262.08	$428.95	$502.66
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 / $967.70 / $2,616.73	Professional		$198.69	$967.70	$2,616.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $262.08 / $427.52 / $831.15	Facility		$262.08	$427.52	$831.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $494.82 / $6,283.00	Facility		$306.64	$494.82	$6,283.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.39 / $919.80 / $3,180.32	Professional		$473.39	$919.80	$3,180.32
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 $262.08 / $426.95 / $831.15	Facility		$262.08	$426.95	$831.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $561.75 / $1,028.34 / $1,484.23	Professional		$561.75	$1,028.34	$1,484.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,047.84 / $4,047.84 / $4,047.84	Facility		$4,047.84	$4,047.84	$4,047.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,788.57 / $3,180.32 / $3,180.32	Professional		$1,788.57	$3,180.32	$3,180.32
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 $471.10 / $870.98 / $1,941.95	Professional		$471.10	$870.98	$1,941.95