Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,898.10	Facility		$4,041.56	$4,041.56	$4,898.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $5,051.95	Professional		$4,041.56	$4,041.56	$5,051.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,908.07 / $2,217.48 / $2,300.00	Facility		$1,908.07	$2,217.48	$2,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,782.67 / $4,209.96 / $12,167.74	Professional		$3,782.67	$4,209.96	$12,167.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $10,741.76 / $16,945.28	Facility		$4,294.16	$10,741.76	$16,945.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,051.76 / $6,770.94 / $7,694.25	Professional		$4,051.76	$6,770.94	$7,694.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,690.22 / $4,041.56 / $5,335.38	Facility		$3,690.22	$4,041.56	$5,335.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,031.39 / $4,041.56 / $5,335.38	Facility		$1,031.39	$4,041.56	$5,335.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $6,735.94	Professional		$4,209.96	$4,209.96	$6,735.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $13,145.72	Professional		$50.00	$65.00	$13,145.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,690.22 / $4,041.56 / $5,335.38	Facility		$3,690.22	$4,041.56	$5,335.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $10,188.10 / $15,000.14	Professional		$145.44	$10,188.10	$15,000.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,944.81 / $18,944.81 / $18,944.81	Facility		$18,944.81	$18,944.81	$18,944.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $5,355.07 / $17,681.83	Professional		$4,294.16	$5,355.07	$17,681.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $440.49 / $440.49 / $466.40	Professional		$440.49	$440.49	$466.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,472.95	Professional		$4,209.96	$4,209.96	$5,472.95