Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.25 / $8,243.00 / $14,482.00	Facility		$2,505.25	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.54 / $3,794.80 / $10,987.30	Professional		$2,130.54	$3,794.80	$10,987.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,860.09 / $20,595.89 / $57,339.50	Professional		$8,860.09	$20,595.89	$57,339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,828.28 / $12,828.28 / $12,828.28	Professional		$12,828.28	$12,828.28	$12,828.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,346.91 / $2,505.25 / $13,066.36	Facility		$1,346.91	$2,505.25	$13,066.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,637.45 / $12,498.00 / $22,691.00	Facility		$2,637.45	$12,498.00	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11,348.03 / $28,653.77 / $53,167.41	Professional		$11,348.03	$28,653.77	$53,167.41
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 $1,346.91 / $2,505.25 / $13,066.36	Facility		$1,346.91	$2,505.25	$13,066.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,782.38 / $4,038.35 / $19,657.47	Professional		$1,782.38	$4,038.35	$19,657.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179,884.55 / $179,884.55 / $179,884.55	Facility		$179,884.55	$179,884.55	$179,884.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,478.21 / $60,271.33 / $60,271.33	Professional		$14,478.21	$60,271.33	$60,271.33
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $22,691.00	Facility		$8,452.00	$14,566.00	$22,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,477.92 / $31,015.16 / $46,426.54	Professional		$9,477.92	$31,015.16	$46,426.54