Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.28 / $584.28 / $17,823.00	Facility		$584.28	$584.28	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $584.28 / $1,060.53	Professional		$577.60	$584.28	$1,060.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.11 / $1,707.29 / $4,201.85	Professional		$860.11	$1,707.29	$4,201.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.66 / $1,845.96 / $2,977.47	Facility		$1,579.66	$1,845.96	$2,977.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.10 / $1,537.47 / $1,747.13	Professional		$677.10	$1,537.47	$1,747.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $584.28 / $1,042.56 / $1,970.17	Facility		$584.28	$1,042.56	$1,970.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $885.03 / $1,970.17 / $14,978.00	Facility		$885.03	$1,970.17	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $986.76 / $2,420.00 / $7,091.12	Professional		$986.76	$2,420.00	$7,091.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $3,329.65	Professional		$50.00	$58.40	$3,329.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $584.28 / $1,042.56 / $1,970.17	Facility		$584.28	$1,042.56	$1,970.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,577.64 / $2,298.56 / $3,152.37	Professional		$1,577.64	$2,298.56	$3,152.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,743.30 / $16,743.30 / $16,743.30	Facility		$16,743.30	$16,743.30	$16,743.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,987.99 / $4,332.50 / $7,091.12	Professional		$3,987.99	$4,332.50	$7,091.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,733.00 / $14,978.00	Facility		$7,301.00	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.08 / $2,630.30 / $4,696.78	Professional		$1,053.08	$2,630.30	$4,696.78