Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,202.58 / $3,202.58 / $17,823.00	Facility		$3,202.58	$3,202.58	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.30 / $3,202.58 / $3,560.08	Professional		$2,581.30	$3,202.58	$3,560.08
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 $2,528.17 / $5,735.97 / $16,736.54	Professional		$2,528.17	$5,735.97	$16,736.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,956.59 / $8,065.11 / $9,164.90	Professional		$4,956.59	$8,065.11	$9,164.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,839.78 / $3,945.71 / $4,910.93	Facility		$2,839.78	$3,945.71	$4,910.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $3,945.71 / $7,868.00	Facility		$2,678.00	$3,945.71	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.76 / $7,243.73 / $13,666.02	Professional		$2,691.76	$7,243.73	$13,666.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $12,836.19	Professional		$50.00	$70.00	$12,836.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,839.78 / $3,945.71 / $4,910.93	Facility		$2,839.78	$3,945.71	$4,910.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,790.84 / $6,985.44 / $10,015.99	Professional		$3,790.84	$6,985.44	$10,015.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66,811.71 / $66,811.71 / $66,811.71	Facility		$66,811.71	$66,811.71	$66,811.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,491.59 / $12,014.28 / $19,998.16	Professional		$4,491.59	$12,014.28	$19,998.16
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 $2,400.62 / $7,776.99 / $12,235.26	Professional		$2,400.62	$7,776.99	$12,235.26