Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,304.00	Facility		$2,304.00	$2,304.00	$2,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,448.00	Professional		$2,304.00	$2,304.00	$2,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.92 / $2,304.00 / $2,736.00	Professional		$1,969.92	$2,304.00	$2,736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $396.00 / $396.00	Professional		$94.75	$396.00	$396.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,332.80 / $3,432.96	Facility		$2,304.00	$2,332.80	$3,432.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,332.80 / $3,456.00	Facility		$2,304.00	$2,332.80	$3,456.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $5,040.00	Professional		$2,400.00	$2,400.00	$5,040.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $9,060.48	Professional		$50.00	$65.00	$9,060.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $3,432.96	Facility		$2,304.00	$2,304.00	$3,432.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,736.00 / $10,800.00	Facility		$2,448.00	$2,736.00	$10,800.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $3,052.80 / $10,944.00	Professional		$396.00	$3,052.80	$10,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $3,024.00	Professional		$2,400.00	$2,400.00	$3,024.00