Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $48.65 / $17,823.00	Facility		$48.65	$48.65	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $78.45 / $3,064.74	Professional		$48.65	$78.45	$3,064.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $173.40 / $547.73	Professional		$79.59	$173.40	$547.73
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
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $108.58 / $5,042.01	Facility		$48.65	$108.58	$5,042.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,839.00 / $7,868.00	Facility		$1,716.00	$3,839.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $269.04 / $470.34	Professional		$99.04	$269.04	$470.34
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 $48.65 / $108.58 / $5,042.01	Facility		$48.65	$108.58	$5,042.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,136.62 / $4,685.47 / $6,534.00	Professional		$2,136.62	$4,685.47	$6,534.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,276.10 / $11,276.10 / $11,276.10	Facility		$11,276.10	$11,276.10	$11,276.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,432.15 / $10,126.45 / $10,126.45	Professional		$8,432.15	$10,126.45	$10,126.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $297.14 / $448.56	Professional		$93.32	$297.14	$448.56