Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,631.57 / $15,631.57 / $15,631.57	Facility		$15,631.57	$15,631.57	$15,631.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,631.57 / $15,631.57 / $19,539.46	Professional		$15,631.57	$15,631.57	$19,539.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,982.58 / $9,277.06 / $9,622.25	Facility		$7,982.58	$9,277.06	$9,622.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,758.23 / $15,322.60 / $16,282.88	Professional		$3,758.23	$15,322.60	$16,282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,270.88 / $10,095.25 / $16,608.54	Facility		$6,270.88	$10,095.25	$16,608.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,327.16 / $7,644.51 / $16,608.54	Professional		$4,327.16	$7,644.51	$16,608.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,666.38 / $15,631.57 / $19,539.46	Facility		$3,666.38	$15,631.57	$19,539.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,666.38 / $7,891.10 / $19,539.46	Facility		$3,666.38	$7,891.10	$19,539.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $16,282.88 / $16,282.88 / $26,052.61	Professional		$16,282.88	$16,282.88	$26,052.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $62,653.26	Professional		$50.00	$65.00	$62,653.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,666.38 / $15,631.57 / $19,539.46	Facility		$3,666.38	$15,631.57	$19,539.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,908.79 / $8,732.02 / $12,177.00	Professional		$6,908.79	$8,732.02	$12,177.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73,272.98 / $73,272.98 / $73,272.98	Facility		$73,272.98	$73,272.98	$73,272.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16,608.54 / $20,711.83 / $74,249.95	Professional		$16,608.54	$20,711.83	$74,249.95
United Facility/Professional Professional Modifier Low / Median / High Price $16,282.88 / $16,282.88 / $23,161.75	Professional		$16,282.88	$16,282.88	$23,161.75