Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.24 / $11,139.00 / $14,482.00	Facility		$354.24	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.24 / $563.33 / $907.80	Professional		$354.24	$563.33	$907.80
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 $576.37 / $1,491.37 / $4,292.81	Professional		$576.37	$1,491.37	$4,292.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,000.00 / $18,000.00 / $18,000.00	Facility		$18,000.00	$18,000.00	$18,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.31 / $789.31 / $1,945.33	Professional		$789.31	$789.31	$1,945.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.24 / $536.61 / $1,124.02	Facility		$354.24	$536.61	$1,124.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $536.61 / $12,022.80 / $22,691.00	Facility		$536.61	$12,022.80	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $1,907.13 / $3,428.88	Professional		$685.24	$1,907.13	$3,428.88
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 $354.24 / $536.61 / $1,124.02	Facility		$354.24	$536.61	$1,124.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $759.46 / $1,393.81 / $2,006.61	Professional		$759.46	$1,393.81	$2,006.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69,789.64 / $69,789.64 / $69,789.64	Facility		$69,789.64	$69,789.64	$69,789.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,418.48 / $4,300.24 / $4,300.24	Professional		$2,418.48	$4,300.24	$4,300.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $1,881.58 / $2,854.98	Professional		$676.97	$1,881.58	$2,854.98