Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.54 / $9,580.00 / $14,482.00	Facility		$236.54	$9,580.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $387.29 / $908.19	Professional		$236.54	$387.29	$908.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $24,904.00	Facility		$12,080.00	$17,505.00	$24,904.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.46 / $1,589.36 / $5,328.72	Professional		$703.46	$1,589.36	$5,328.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.46 / $1,060.46 / $1,060.46	Professional		$1,060.46	$1,060.46	$1,060.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $236.54 / $392.95 / $704.04	Facility		$236.54	$392.95	$704.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.15 / $20,097.00 / $34,485.00	Facility		$419.15	$20,097.00	$34,485.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,016.12 / $2,368.34 / $3,837.33	Professional		$1,016.12	$2,368.34	$3,837.33
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 $236.54 / $392.95 / $704.04	Facility		$236.54	$392.95	$704.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $476.22 / $1,078.97 / $1,625.00	Professional		$476.22	$1,078.97	$1,625.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107,048.30 / $107,048.30 / $107,048.30	Facility		$107,048.30	$107,048.30	$107,048.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,614.96 / $3,691.83 / $3,691.83	Professional		$1,614.96	$3,691.83	$3,691.83
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 $785.62 / $1,802.44 / $3,837.33	Professional		$785.62	$1,802.44	$3,837.33