Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.35 / $1,894.00 / $14,482.00	Facility		$1,845.35	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,845.35 / $3,020.42 / $4,306.87	Professional		$1,845.35	$3,020.42	$4,306.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,396.82 / $8,856.91 / $22,317.51	Professional		$3,396.82	$8,856.91	$22,317.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,845.35 / $2,795.21 / $5,331.85	Facility		$1,845.35	$2,795.21	$5,331.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $4,142.85 / $6,312.00	Facility		$2,781.00	$4,142.85	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,963.64 / $8,846.45 / $19,643.09	Professional		$3,963.64	$8,846.45	$19,643.09
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 $1,845.35 / $2,795.21 / $5,331.85	Facility		$1,845.35	$2,795.21	$5,331.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,603.01 / $6,708.08 / $9,519.73	Professional		$3,603.01	$6,708.08	$9,519.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,942.19 / $24,942.19 / $24,942.19	Facility		$24,942.19	$24,942.19	$24,942.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,595.77 / $22,396.80 / $22,396.80	Professional		$12,595.77	$22,396.80	$22,396.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,826.07 / $9,383.96 / $14,911.37	Professional		$3,826.07	$9,383.96	$14,911.37