Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.14 / $1,008.14 / $17,823.00	Facility		$1,008.14	$1,008.14	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.14 / $1,650.21 / $2,386.96	Professional		$1,008.14	$1,650.21	$2,386.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,531.30 / $5,426.92 / $10,500.40	Professional		$2,531.30	$5,426.92	$10,500.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,348.80 / $3,348.80 / $3,805.45	Professional		$3,348.80	$3,348.80	$3,805.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,008.14 / $1,649.34 / $2,955.07	Facility		$1,008.14	$1,649.34	$2,955.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,649.34 / $3,364.00 / $7,868.00	Facility		$1,649.34	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,264.82 / $6,196.65 / $10,589.38	Professional		$2,264.82	$6,196.65	$10,589.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $7,096.50	Professional		$50.00	$58.40	$7,096.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,008.14 / $1,649.34 / $2,955.07	Facility		$1,008.14	$1,649.34	$2,955.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,996.85 / $3,926.98 / $5,276.00	Professional		$1,996.85	$3,926.98	$5,276.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,138.56 / $31,138.56 / $31,138.56	Facility		$31,138.56	$31,138.56	$31,138.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,879.92 / $12,233.12 / $12,233.12	Professional		$6,879.92	$12,233.12	$12,233.12
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 $2,070.46 / $5,354.79 / $8,942.59	Professional		$2,070.46	$5,354.79	$8,942.59