Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $156.63 / $14,482.00	Facility		$156.63	$156.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $237.25 / $256.33	Professional		$156.63	$237.25	$256.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.10 / $502.84 / $1,199.75	Professional		$257.10	$502.84	$1,199.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $277.51 / $391.58	Facility		$156.63	$277.51	$391.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.20 / $2,803.00 / $7,868.00	Facility		$256.20	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $519.76 / $1,432.13	Professional		$279.22	$519.76	$1,432.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $277.51 / $391.58	Facility		$156.63	$277.51	$391.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $335.67 / $596.14 / $844.89	Professional		$335.67	$596.14	$844.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,116.31 / $2,116.31 / $2,116.31	Facility		$2,116.31	$2,116.31	$2,116.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,068.61 / $1,432.13 / $1,432.13	Professional		$1,068.61	$1,432.13	$1,432.13
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 $281.86 / $515.52 / $1,125.08	Professional		$281.86	$515.52	$1,125.08