Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.38 / $1,149.38 / $14,482.00	Facility		$1,149.38	$1,149.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.38 / $1,741.00 / $2,025.06	Professional		$1,149.38	$1,741.00	$2,025.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,466.00 / $15,738.00 / $23,778.77	Facility		$9,466.00	$15,738.00	$23,778.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,811.43 / $2,546.17 / $6,252.20	Professional		$1,811.43	$2,546.17	$6,252.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,233.43 / $3,674.35 / $3,674.35	Professional		$3,233.43	$3,674.35	$3,674.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,149.38 / $1,930.38 / $3,872.55	Facility		$1,149.38	$1,930.38	$3,872.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,921.59 / $16,521.00 / $31,762.00	Facility		$1,921.59	$16,521.00	$31,762.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,863.67 / $3,575.14 / $12,512.99	Professional		$1,863.67	$3,575.14	$12,512.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $7,133.46	Professional		$50.00	$58.40	$7,133.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,149.38 / $1,930.38 / $3,872.55	Facility		$1,149.38	$1,930.38	$3,872.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,907.07 / $4,289.49 / $5,882.83	Professional		$2,907.07	$4,289.49	$5,882.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,788.45 / $23,788.45 / $23,788.45	Facility		$23,788.45	$23,788.45	$23,788.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,846.34 / $9,111.60 / $13,951.44	Professional		$7,846.34	$9,111.60	$13,951.44
United Facility/Professional Facility Modifier Low / Median / High Price $13,676.00 / $21,823.00 / $27,528.00	Facility		$13,676.00	$21,823.00	$27,528.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,901.04 / $3,575.14 / $7,986.32	Professional		$1,901.04	$3,575.14	$7,986.32