Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $8,154.34	Facility		$3,072.00	$3,072.00	$8,154.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,840.00	Professional		$3,072.00	$3,072.00	$3,840.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,453.17 / $3,733.16 / $4,162.47	Facility		$3,453.17	$3,733.16	$4,162.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,264.00	Professional		$3,200.00	$3,200.00	$3,264.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.02 / $883.64 / $3,264.00	Facility		$483.02	$883.64	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,840.00	Professional		$3,264.00	$3,264.00	$3,840.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,840.00	Facility		$3,072.00	$3,072.00	$3,840.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,187.20 / $17,490.00	Facility		$3,072.00	$3,187.20	$17,490.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $15,048.00	Professional		$3,200.00	$3,200.00	$15,048.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $11,979.00	Professional		$50.00	$65.00	$11,979.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,110.40 / $3,840.00	Facility		$3,072.00	$3,110.40	$3,840.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,466.32 / $17,490.00 / $17,490.00	Facility		$7,466.32	$17,490.00	$17,490.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $4,070.40 / $15,048.00	Professional		$3,264.00	$4,070.40	$15,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,032.00	Professional		$3,200.00	$3,200.00	$4,032.00