Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,645.41	Facility		$1,645.41	$1,645.41	$1,645.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $2,056.76	Professional		$1,645.41	$1,645.41	$2,056.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.33 / $1,725.03 / $1,789.22	Facility		$1,484.33	$1,725.03	$1,789.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,539.28 / $1,713.97 / $4,951.39	Professional		$1,539.28	$1,713.97	$4,951.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.66 / $810.83 / $1,748.25	Facility		$503.66	$810.83	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $2,596.67 / $2,950.78	Professional		$1,748.25	$2,596.67	$2,950.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,432.77 / $1,645.41 / $2,056.76	Facility		$1,432.77	$1,645.41	$2,056.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $802.34 / $1,645.41 / $2,056.76	Facility		$802.34	$1,645.41	$2,056.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $3,599.34	Professional		$1,713.97	$1,713.97	$3,599.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $4,728.51	Professional		$55.00	$85.00	$4,728.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,432.77 / $1,645.41 / $2,056.76	Facility		$1,432.77	$1,645.41	$2,056.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $3,700.70 / $5,448.61	Professional		$56.60	$3,700.70	$5,448.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,712.85 / $7,712.85 / $7,712.85	Facility		$7,712.85	$7,712.85	$7,712.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $2,180.17 / $7,815.69	Professional		$1,748.25	$2,180.17	$7,815.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,228.16	Professional		$1,713.97	$1,713.97	$2,228.16