Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.51 / $6,461.00 / $14,482.00	Facility		$1,395.51	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,395.51 / $7,930.41	Professional		$1,007.42	$1,395.51	$7,930.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.79 / $3,481.66 / $9,751.93	Professional		$1,275.79	$3,481.66	$9,751.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,277.64 / $2,277.64 / $2,588.23	Professional		$2,277.64	$2,277.64	$2,588.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,395.51 / $2,727.32 / $7,921.37	Facility		$1,395.51	$2,727.32	$7,921.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,113.85 / $12,365.00 / $22,691.00	Facility		$2,113.85	$12,365.00	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,527.41 / $3,889.49 / $7,568.72	Professional		$1,527.41	$3,889.49	$7,568.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $4,722.16	Professional		$50.00	$58.40	$4,722.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,395.51 / $2,727.32 / $7,921.37	Facility		$1,395.51	$2,727.32	$7,921.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,362.45 / $12,175.92 / $16,979.59	Professional		$4,362.45	$12,175.92	$16,979.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,497.98 / $28,497.98 / $28,497.98	Facility		$28,497.98	$28,497.98	$28,497.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21,127.28 / $27,827.90 / $27,827.90	Professional		$21,127.28	$27,827.90	$27,827.90
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 $1,527.41 / $4,028.76 / $6,834.76	Professional		$1,527.41	$4,028.76	$6,834.76