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 $3,135.99 / $3,135.99 / $7,549.01	Professional		$3,135.99	$3,135.99	$7,549.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $2,494.42 / $3,737.96	Professional		$1,116.00	$2,494.42	$3,737.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $5,461.38	Facility		$3,135.99	$3,135.99	$5,461.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $9,058.81	Facility		$3,135.99	$3,135.99	$9,058.81
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 / $4,715.37	Professional		$50.00	$70.00	$4,715.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $5,461.38	Facility		$3,135.99	$3,135.99	$5,461.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,785.90 / $25,785.90 / $25,785.90	Facility		$25,785.90	$25,785.90	$25,785.90
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 $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00