Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,195.89 / $4,195.89 / $17,823.00	Facility		$4,195.89	$4,195.89	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,989.04 / $4,195.89 / $8,828.00	Professional		$3,989.04	$4,195.89	$8,828.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,724.79 / $9,859.78 / $21,483.13	Professional		$3,724.79	$9,859.78	$21,483.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,418.92 / $8,669.60 / $13,983.75	Facility		$7,418.92	$8,669.60	$13,983.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,212.78 / $10,516.67 / $11,950.76	Professional		$5,212.78	$10,516.67	$11,950.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,195.89 / $4,909.20 / $7,917.07	Facility		$4,195.89	$4,909.20	$7,917.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,810.00 / $12,622.22	Facility		$2,678.00	$4,810.00	$12,622.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,188.49 / $11,626.91 / $28,924.00	Professional		$4,188.49	$11,626.91	$28,924.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $13,314.26	Professional		$50.00	$70.00	$13,314.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,195.89 / $4,909.20 / $7,917.07	Facility		$4,195.89	$4,909.20	$7,917.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,083.67 / $9,329.93 / $13,431.88	Professional		$5,083.67	$9,329.93	$13,431.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36,812.24 / $36,812.24 / $36,812.24	Facility		$36,812.24	$36,812.24	$36,812.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,386.11 / $17,665.05 / $28,924.00	Professional		$5,386.11	$17,665.05	$28,924.00
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 $4,239.60 / $10,792.72 / $16,724.74	Professional		$4,239.60	$10,792.72	$16,724.74