Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.53 / $8,466.00 / $14,482.00	Facility		$899.53	$8,466.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.53 / $1,430.95 / $2,312.42	Professional		$899.53	$1,430.95	$2,312.42
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 $1,448.47 / $3,321.18 / $6,510.19	Professional		$1,448.47	$3,321.18	$6,510.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,003.89 / $2,003.89 / $6,775.42	Professional		$2,003.89	$2,003.89	$6,775.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $899.53 / $1,362.54 / $2,862.66	Facility		$899.53	$1,362.54	$2,862.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,362.54 / $9,781.00 / $17,200.00	Facility		$1,362.54	$9,781.00	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,703.71 / $4,844.43 / $9,995.62	Professional		$1,703.71	$4,844.43	$9,995.62
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 $899.53 / $1,362.54 / $2,862.66	Facility		$899.53	$1,362.54	$2,862.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,934.53 / $3,550.39 / $5,111.34	Professional		$1,934.53	$3,550.39	$5,111.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,427.19 / $41,427.19 / $41,427.19	Facility		$41,427.19	$41,427.19	$41,427.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,520.91 / $11,594.96 / $11,594.96	Professional		$6,520.91	$11,594.96	$11,594.96
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 $1,698.29 / $4,508.76 / $7,465.08	Professional		$1,698.29	$4,508.76	$7,465.08