Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.38 / $1,277.38 / $17,823.00	Facility		$1,277.38	$1,277.38	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.38 / $2,060.17 / $3,398.60	Professional		$1,277.38	$2,060.17	$3,398.60
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 $2,797.65 / $5,329.83 / $11,325.60	Professional		$2,797.65	$5,329.83	$11,325.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,000.00 / $18,000.00 / $18,000.00	Facility		$18,000.00	$18,000.00	$18,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,216.33 / $3,216.33 / $3,654.93	Professional		$3,216.33	$3,216.33	$3,654.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,277.38 / $2,593.42 / $4,646.54	Facility		$1,277.38	$2,593.42	$4,646.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,900.84 / $3,839.00 / $7,868.00	Facility		$1,900.84	$3,839.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,250.64 / $5,739.27 / $10,687.98	Professional		$2,250.64	$5,739.27	$10,687.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $6,553.60	Professional		$50.00	$58.40	$6,553.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,277.38 / $2,593.42 / $4,646.54	Facility		$1,277.38	$2,593.42	$4,646.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,831.09 / $5,195.83 / $7,245.70	Professional		$2,831.09	$5,195.83	$7,245.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,406.95 / $28,406.95 / $28,406.95	Facility		$28,406.95	$28,406.95	$28,406.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,353.03 / $16,324.48 / $16,324.48	Professional		$9,353.03	$16,324.48	$16,324.48
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 $2,250.64 / $5,690.89 / $8,889.29	Professional		$2,250.64	$5,690.89	$8,889.29