Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,139.00 / $13,367.00 / $17,823.00	Facility		$11,139.00	$13,367.00	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $12,435.00 / $20,877.00	Facility		$5,479.00	$12,435.00	$20,877.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.81 / $509.79 / $509.79	Professional		$458.81	$509.79	$509.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.18 / $261.24 / $373.67	Facility		$191.18	$261.24	$373.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.18 / $12,022.80 / $19,754.00	Facility		$191.18	$12,022.80	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $430.23 / $1,133.36	Professional		$230.78	$430.23	$1,133.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $319.58 / $343.06	Professional		$58.40	$319.58	$343.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $191.18 / $261.24 / $373.67	Facility		$191.18	$261.24	$373.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.10 / $437.00 / $609.40	Professional		$360.10	$437.00	$609.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,745.28 / $1,745.28 / $1,745.28	Facility		$1,745.28	$1,745.28	$1,745.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $802.44 / $1,181.11 / $1,181.11	Professional		$802.44	$1,181.11	$1,181.11
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $445.28 / $1,086.35	Professional		$230.78	$445.28	$1,086.35