Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.81 / $14,482.00 / $29,347.74	Facility		$686.81	$14,482.00	$29,347.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.78 / $686.81 / $1,654.57	Professional		$369.78	$686.81	$1,654.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,653.00 / $11,863.00	Facility		$4,637.00	$7,653.00	$11,863.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.89 / $2,697.70 / $7,733.53	Professional		$1,116.89	$2,697.70	$7,733.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,989.89 / $16,348.29 / $26,369.21	Facility		$13,989.89	$16,348.29	$26,369.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,122.60 / $3,548.41 / $7,277.34	Professional		$3,122.60	$3,548.41	$7,277.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $686.81 / $1,558.10 / $6,683.74	Facility		$686.81	$1,558.10	$6,683.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,286.26 / $3,583.00 / $9,547.50	Facility		$1,286.26	$3,583.00	$9,547.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,181.27 / $11,056.50 / $27,168.30	Professional		$2,181.27	$11,056.50	$27,168.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $3,184.96 / $13,202.10	Professional		$58.40	$3,184.96	$13,202.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $686.81 / $1,558.10 / $6,683.74	Facility		$686.81	$1,558.10	$6,683.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,390.40 / $2,562.12 / $3,673.67	Professional		$1,390.40	$2,562.12	$3,673.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,284.10 / $9,284.10 / $9,284.10	Facility		$9,284.10	$9,284.10	$9,284.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,688.33 / $9,248.35 / $9,248.35	Professional		$4,688.33	$9,248.35	$9,248.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.92 / $16,876.43 / $26,661.73	Professional		$1,323.92	$16,876.43	$26,661.73