Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $211.58 / $14,482.00	Facility		$211.58	$211.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.58 / $234.05 / $400.29	Professional		$211.58	$234.05	$400.29
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 $346.18 / $781.21 / $2,126.05	Professional		$346.18	$781.21	$2,126.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,698.05 / $4,698.05 / $4,698.05	Facility		$4,698.05	$4,698.05	$4,698.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $320.48 / $608.05	Facility		$211.58	$320.48	$608.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.61 / $450.64 / $11,598.00	Facility		$218.61	$450.64	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.64 / $700.05 / $2,571.67	Professional		$412.64	$700.05	$2,571.67
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 $211.58 / $320.48 / $608.05	Facility		$211.58	$320.48	$608.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $633.60 / $814.49 / $1,161.59	Professional		$633.60	$814.49	$1,161.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,698.05 / $4,698.05 / $12,968.70	Facility		$4,698.05	$4,698.05	$12,968.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,446.21 / $2,571.67 / $2,571.67	Professional		$1,446.21	$2,571.67	$2,571.67
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.21 / $688.24 / $1,578.71	Professional		$397.21	$688.24	$1,578.71