Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,121.26 / $18,110.40 / $18,110.40	Facility		$8,121.26	$18,110.40	$18,110.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,121.26 / $8,324.29 / $10,151.58	Professional		$8,121.26	$8,324.29	$10,151.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.85 / $2,809.67 / $8,459.66	Professional		$303.85	$2,809.67	$8,459.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.65 / $1,075.04 / $8,628.84	Facility		$587.65	$1,075.04	$8,628.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $626.19 / $8,628.84	Professional		$460.80	$626.19	$8,628.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $332.46 / $8,222.78 / $10,151.58	Facility		$332.46	$8,222.78	$10,151.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $217.25 / $217.25	Professional		$217.25	$217.25	$217.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.42 / $8,222.78 / $10,151.58	Facility		$296.42	$8,222.78	$10,151.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,459.66 / $9,417.37 / $37,127.98	Professional		$8,459.66	$9,417.37	$37,127.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $30,738.08	Professional		$50.00	$70.00	$30,738.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $296.42 / $8,121.26 / $10,151.58	Facility		$296.42	$8,121.26	$10,151.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $217.25 / $217.25	Professional		$217.25	$217.25	$217.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.43 / $675.10 / $1,016.36	Professional		$457.43	$675.10	$1,016.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $36,639.44	Facility		$8,628.84	$8,628.84	$36,639.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,628.84 / $10,356.75 / $37,127.98	Professional		$8,628.84	$10,356.75	$37,127.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $541.52 / $541.52 / $990.09	Professional		$541.52	$541.52	$990.09
United Facility/Professional Professional Modifier Low / Median / High Price $8,459.66 / $8,714.29 / $10,151.58	Professional		$8,459.66	$8,714.29	$10,151.58