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 $1,924.59 / $2,236.69 / $2,319.91	Facility		$1,924.59	$2,236.69	$2,319.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,641.13 / $1,713.97 / $5,279.02	Professional		$1,641.13	$1,713.97	$5,279.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $653.05 / $1,051.33 / $1,748.25	Facility		$653.05	$1,051.33	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $2,773.53 / $3,151.74	Professional		$1,748.25	$2,773.53	$3,151.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,511.59 / $1,645.41 / $2,111.05	Facility		$1,511.59	$1,645.41	$2,111.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.32 / $1,645.41 / $2,111.05	Facility		$1,040.32	$1,645.41	$2,111.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,757.38	Professional		$1,713.97	$1,713.97	$2,757.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $5,429.25	Professional		$50.00	$65.00	$5,429.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,511.59 / $1,645.41 / $3,747.02	Facility		$1,511.59	$1,645.41	$3,747.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $4,383.30 / $6,453.61	Professional		$59.26	$4,383.30	$6,453.61
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