Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,139.00 / $13,782.12 / $14,482.00	Facility		$11,139.00	$13,782.12	$14,482.00
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 $349.62 / $388.47 / $797.06	Professional		$349.62	$388.47	$797.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $407.84 / $575.04	Facility		$294.20	$407.84	$575.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $8,225.90 / $15,743.00	Facility		$294.20	$8,225.90	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.45 / $678.43 / $1,775.01	Professional		$361.45	$678.43	$1,775.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,030.38	Professional		$50.00	$85.00	$1,030.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $407.84 / $575.04	Facility		$294.20	$407.84	$575.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $671.27 / $936.10	Professional		$553.15	$671.27	$936.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,650.96 / $2,650.96 / $2,650.96	Facility		$2,650.96	$2,650.96	$2,650.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,218.51 / $1,858.31 / $1,858.31	Professional		$1,218.51	$1,858.31	$1,858.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.86 / $751.14 / $1,595.78	Professional		$353.86	$751.14	$1,595.78