Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.41 / $1,042.41 / $17,823.00	Facility		$1,042.41	$1,042.41	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.41 / $1,629.60 / $2,849.30	Professional		$1,042.41	$1,629.60	$2,849.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.56 / $3,335.71 / $9,141.29	Professional		$1,289.56	$3,335.71	$9,141.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,302.21 / $2,302.21 / $2,616.16	Professional		$2,302.21	$2,302.21	$2,616.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,042.41 / $2,086.00 / $3,737.41	Facility		$1,042.41	$2,086.00	$3,737.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,579.00 / $3,378.08 / $7,868.00	Facility		$1,579.00	$3,378.08	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,640.54 / $4,462.71 / $7,526.01	Professional		$1,640.54	$4,462.71	$7,526.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $5,108.50	Professional		$50.00	$58.40	$5,108.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,042.41 / $2,086.00 / $3,737.41	Facility		$1,042.41	$2,086.00	$3,737.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,604.54 / $4,374.68 / $6,100.60	Professional		$2,604.54	$4,374.68	$6,100.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,352.32 / $34,352.32 / $34,352.32	Facility		$34,352.32	$34,352.32	$34,352.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,589.52 / $13,495.20 / $13,495.20	Professional		$7,589.52	$13,495.20	$13,495.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,610.99 / $4,375.97 / $7,094.97	Professional		$1,610.99	$4,375.97	$7,094.97