Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $17,823.00	Facility		$3,135.99	$3,135.99	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.29 / $3,135.99 / $3,135.99	Professional		$652.29	$3,135.99	$3,135.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,408.00 / $17,436.00	Facility		$6,538.00	$10,408.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $2,632.37 / $3,737.96	Professional		$1,116.00	$2,632.37	$3,737.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $4,306.09	Facility		$3,135.99	$3,135.99	$4,306.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,135.99 / $7,700.00	Facility		$1,716.00	$3,135.99	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42,198.16 / $42,198.16 / $42,198.16	Professional		$42,198.16	$42,198.16	$42,198.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,181.76	Professional		$50.00	$70.00	$4,181.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $4,306.09	Facility		$3,135.99	$3,135.99	$4,306.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,630.00 / $32,630.00 / $32,630.00	Facility		$32,630.00	$32,630.00	$32,630.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42,198.16 / $42,198.16 / $42,198.16	Professional		$42,198.16	$42,198.16	$42,198.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00