Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,429.70 / $4,429.70 / $17,823.00	Facility		$4,429.70	$4,429.70	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,432.38 / $4,429.70 / $6,780.61	Professional		$3,432.38	$4,429.70	$6,780.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,932.25 / $10,450.08 / $22,679.34	Professional		$3,932.25	$10,450.08	$22,679.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,503.39 / $12,277.82 / $13,952.06	Professional		$5,503.39	$12,277.82	$13,952.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,429.70 / $5,182.75 / $8,357.74	Facility		$4,429.70	$5,182.75	$8,357.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,821.00 / $8,818.81	Facility		$2,678.00	$4,821.00	$8,818.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,421.67 / $11,392.84 / $19,416.75	Professional		$4,421.67	$11,392.84	$19,416.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $14,055.36	Professional		$50.00	$70.00	$14,055.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,429.70 / $5,182.75 / $8,357.74	Facility		$4,429.70	$5,182.75	$8,357.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,366.91 / $9,849.75 / $14,180.24	Professional		$5,366.91	$9,849.75	$14,180.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,862.40 / $38,862.40 / $38,862.40	Facility		$38,862.40	$38,862.40	$38,862.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,686.04 / $18,648.70 / $30,534.80	Professional		$5,686.04	$18,648.70	$30,534.80
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 $4,421.67 / $11,393.96 / $16,345.59	Professional		$4,421.67	$11,393.96	$16,345.59