Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.41 / $789.41 / $17,823.00	Facility		$789.41	$789.41	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.41 / $1,292.13 / $2,301.11	Professional		$789.41	$1,292.13	$2,301.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,728.66 / $4,263.54 / $11,245.28	Professional		$1,728.66	$4,263.54	$11,245.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,000.00 / $18,000.00 / $18,000.00	Facility		$18,000.00	$18,000.00	$18,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,619.57 / $3,098.67 / $3,521.21	Professional		$2,619.57	$3,098.67	$3,521.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $789.41 / $1,195.76 / $2,049.87	Facility		$789.41	$1,195.76	$2,049.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,195.76 / $3,364.00 / $7,868.00	Facility		$1,195.76	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,095.66 / $5,291.53 / $9,583.28	Professional		$2,095.66	$5,291.53	$9,583.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $6,609.43	Professional		$50.00	$58.40	$6,609.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $789.41 / $1,195.76 / $2,049.87	Facility		$789.41	$1,195.76	$2,049.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,925.07 / $3,547.37 / $5,086.35	Professional		$1,925.07	$3,547.37	$5,086.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,770.38 / $16,770.38 / $16,770.38	Facility		$16,770.38	$16,770.38	$16,770.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,389.65 / $9,583.28 / $9,583.28	Professional		$5,389.65	$9,583.28	$9,583.28
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 $1,689.98 / $5,291.53 / $8,573.10	Professional		$1,689.98	$5,291.53	$8,573.10