Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.71 / $1,302.71 / $14,482.00	Facility		$1,302.71	$1,302.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.71 / $1,441.13 / $2,122.02	Professional		$1,302.71	$1,441.13	$2,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $17,296.00	Facility		$5,169.00	$7,532.89	$17,296.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.53 / $3,406.51 / $8,016.68	Professional		$2,071.53	$3,406.51	$8,016.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,699.12 / $4,203.55 / $4,203.55	Professional		$3,699.12	$4,203.55	$4,203.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,302.71 / $2,008.75 / $4,254.35	Facility		$1,302.71	$2,008.75	$4,254.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,524.17 / $2,788.65 / $15,090.00	Facility		$1,524.17	$2,788.65	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,744.31 / $4,296.82 / $15,811.92	Professional		$1,744.31	$4,296.82	$15,811.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $7,572.87	Professional		$50.00	$58.40	$7,572.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,302.71 / $2,073.35 / $4,254.35	Facility		$1,302.71	$2,073.35	$4,254.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,860.77 / $5,124.04 / $7,027.37	Professional		$3,860.77	$5,124.04	$7,027.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,640.22 / $22,640.22 / $22,640.22	Facility		$22,640.22	$22,640.22	$22,640.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,892.45 / $10,688.60 / $15,811.92	Professional		$8,892.45	$10,688.60	$15,811.92
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,890.51 / $4,147.18 / $9,726.62	Professional		$1,890.51	$4,147.18	$9,726.62