Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.57 / $2,288.57 / $2,288.57	Facility		$2,288.57	$2,288.57	$2,288.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,288.57 / $2,696.25 / $3,162.53	Professional		$2,288.57	$2,696.25	$3,162.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,476.34 / $1,715.74 / $1,779.58	Facility		$1,476.34	$1,715.74	$1,779.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,751.75 / $6,400.47 / $15,341.97	Professional		$3,751.75	$6,400.47	$15,341.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $806.50 / $3,384.12	Facility		$500.98	$806.50	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $6,735.67 / $7,654.18	Professional		$3,384.12	$6,735.67	$7,654.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,406.92 / $3,671.01 / $4,571.64	Facility		$2,406.92	$3,671.01	$4,571.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $798.02 / $3,570.00 / $4,571.64	Facility		$798.02	$3,570.00	$4,571.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $6,720.00	Professional		$4,200.00	$4,200.00	$6,720.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $260.85	Professional		$55.00	$85.00	$260.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,406.92 / $3,570.00 / $4,571.64	Facility		$2,406.92	$3,570.00	$4,571.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,426.83 / $9,707.76 / $13,537.70	Professional		$4,426.83	$9,707.76	$13,537.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $21,783.39	Facility		$3,384.12	$3,384.12	$21,783.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $18,980.80 / $24,051.83	Professional		$3,384.12	$18,980.80	$24,051.83
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $5,292.00	Professional		$4,200.00	$4,200.00	$5,292.00