Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.50 / $6,461.00 / $14,482.00	Facility		$841.50	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,339.30 / $2,491.26	Professional		$841.50	$1,339.30	$2,491.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,634.70 / $2,825.43 / $11,686.39	Professional		$1,634.70	$2,825.43	$11,686.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,741.75 / $3,243.20 / $3,685.45	Professional		$2,741.75	$3,243.20	$3,685.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $841.50 / $1,555.39 / $3,083.55	Facility		$841.50	$1,555.39	$3,083.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,835.79 / $7,600.80 / $12,631.00	Facility		$1,835.79	$7,600.80	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,193.40 / $5,727.48 / $10,208.56	Professional		$2,193.40	$5,727.48	$10,208.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $6,874.20	Professional		$50.00	$58.40	$6,874.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $841.50 / $1,555.39 / $3,083.55	Facility		$841.50	$1,555.39	$3,083.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,084.10 / $3,824.89 / $5,506.52	Professional		$2,084.10	$3,824.89	$5,506.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,054.10 / $12,054.10 / $12,054.10	Facility		$12,054.10	$12,054.10	$12,054.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,636.33 / $10,208.56 / $10,208.56	Professional		$6,636.33	$10,208.56	$10,208.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,005.14 / $6,002.97 / $9,354.69	Professional		$2,005.14	$6,002.97	$9,354.69