Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.11 / $5,343.33 / $5,343.33	Facility		$2,396.11	$5,343.33	$5,343.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,485.96 / $2,995.14	Professional		$2,396.11	$2,485.96	$2,995.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.86 / $745.94 / $773.70	Facility		$641.86	$745.94	$773.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.75 / $1,029.39 / $2,495.94	Professional		$224.75	$1,029.39	$2,495.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.33 / $532.32 / $2,545.87	Facility		$367.33	$532.32	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $418.05 / $2,545.87	Professional		$356.63	$418.05	$2,545.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.92 / $2,426.06 / $2,995.14	Facility		$245.92	$2,426.06	$2,995.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $197.74 / $197.74	Professional		$197.74	$197.74	$197.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.13 / $2,485.96 / $2,995.14	Facility		$233.13	$2,485.96	$2,995.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,778.52 / $11,381.53	Professional		$2,495.94	$2,778.52	$11,381.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $9,422.71	Professional		$55.00	$70.00	$9,422.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $233.13 / $2,396.11 / $2,995.14	Facility		$233.13	$2,396.11	$2,995.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $197.74 / $197.74	Professional		$197.74	$197.74	$197.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.48 / $522.19 / $716.15	Professional		$357.48	$522.19	$716.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $13,228.55	Facility		$2,545.87	$2,545.87	$13,228.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $3,174.85 / $11,381.53	Professional		$2,545.87	$3,174.85	$11,381.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,639.59 / $2,995.14	Professional		$2,495.94	$2,639.59	$2,995.14