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 / $4,041.56	Facility		$4,041.56	$4,041.56	$4,041.56
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 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 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $6,770.94 / $7,694.25	Professional		$4,294.16	$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 $3,690.22 / $4,041.56 / $5,335.38	Facility		$3,690.22	$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 $4,887.33 / $10,188.10 / $15,000.14	Professional		$4,887.33	$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
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