Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,519.67 / $3,519.67 / $3,519.67	Facility		$3,519.67	$3,519.67	$3,519.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,519.67 / $4,399.59	Professional		$3,519.67	$3,519.67	$4,399.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,265.03 / $1,470.17 / $1,524.87	Facility		$1,265.03	$1,470.17	$1,524.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.50 / $3,666.33 / $3,666.33	Professional		$394.50	$3,666.33	$3,666.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.27 / $691.07 / $3,739.65	Facility		$429.27	$691.07	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.13 / $802.43 / $3,739.65	Professional		$706.13	$802.43	$3,739.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $3,519.67 / $4,399.59	Facility		$384.85	$3,519.67	$4,399.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $3,519.67 / $4,399.59	Facility		$384.85	$3,519.67	$4,399.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $5,866.13	Professional		$3,666.33	$3,666.33	$5,866.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $65.00 / $85.00	Professional		$27.26	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $3,519.67 / $4,399.59	Facility		$384.85	$3,519.67	$4,399.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $5,372.88 / $7,910.59	Professional		$15.13	$5,372.88	$7,910.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,017.94 / $16,017.94 / $16,017.94	Facility		$16,017.94	$16,017.94	$16,017.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $4,663.57 / $16,231.51	Professional		$3,739.65	$4,663.57	$16,231.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $4,766.22	Professional		$3,666.33	$3,666.33	$4,766.22