Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.12 / $3,119.00 / $14,482.00	Facility		$929.12	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.12 / $1,427.25 / $2,414.65	Professional		$929.12	$1,427.25	$2,414.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,912.64 / $5,158.45 / $10,174.36	Professional		$2,912.64	$5,158.45	$10,174.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $929.12 / $1,404.87 / $2,989.10	Facility		$929.12	$1,404.87	$2,989.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,404.87 / $5,558.00 / $9,469.00	Facility		$1,404.87	$5,558.00	$9,469.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,797.53 / $3,892.44 / $7,718.60	Professional		$1,797.53	$3,892.44	$7,718.60
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 $929.12 / $1,404.87 / $2,989.10	Facility		$929.12	$1,404.87	$2,989.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,020.06 / $3,707.36 / $5,337.32	Professional		$2,020.06	$3,707.36	$5,337.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,432.35 / $8,620.34 / $8,620.34	Professional		$6,432.35	$8,620.34	$8,620.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,830.48 / $5,069.22 / $7,324.21	Professional		$1,830.48	$5,069.22	$7,324.21