Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.98 / $8,243.00 / $14,482.00	Facility		$954.98	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.98 / $1,563.23 / $4,671.10	Professional		$954.98	$1,563.23	$4,671.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,603.00	Facility		$7,084.00	$11,783.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,726.74 / $4,069.86 / $7,800.01	Professional		$1,726.74	$4,069.86	$7,800.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.96 / $2,371.96 / $8,057.16	Professional		$2,371.96	$2,371.96	$8,057.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.98 / $1,446.56 / $7,408.75	Facility		$954.98	$1,446.56	$7,408.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,446.56 / $9,781.00 / $17,200.00	Facility		$1,446.56	$9,781.00	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,916.36 / $5,734.13 / $11,830.65	Professional		$1,916.36	$5,734.13	$11,830.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $954.98 / $1,446.56 / $7,408.75	Facility		$954.98	$1,446.56	$7,408.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,634.70 / $7,171.77 / $10,324.87	Professional		$3,634.70	$7,171.77	$10,324.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,399.35 / $40,399.35 / $40,399.35	Facility		$40,399.35	$40,399.35	$40,399.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,443.18 / $16,391.45 / $16,391.45	Professional		$12,443.18	$16,391.45	$16,391.45
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,916.36 / $5,734.13 / $8,835.51	Professional		$1,916.36	$5,734.13	$8,835.51