Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.77 / $703.77 / $17,823.00	Facility		$703.77	$703.77	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.77 / $1,151.99 / $1,895.27	Professional		$703.77	$1,151.99	$1,895.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $24,904.00	Facility		$12,080.00	$17,505.00	$24,904.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.81 / $2,765.12 / $7,877.61	Professional		$1,144.81	$2,765.12	$7,877.61
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 $1,567.93 / $1,567.93 / $1,567.93	Professional		$1,567.93	$1,567.93	$1,567.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $703.77 / $1,223.32 / $2,191.77	Facility		$703.77	$1,223.32	$2,191.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,309.99 / $3,364.00 / $7,868.00	Facility		$1,309.99	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,386.97 / $3,790.49 / $6,498.13	Professional		$1,386.97	$3,790.49	$6,498.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $703.77 / $1,223.32 / $2,191.77	Facility		$703.77	$1,223.32	$2,191.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,585.53 / $2,909.88 / $4,057.90	Professional		$1,585.53	$2,909.88	$4,057.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,947.57 / $14,947.57 / $14,947.57	Facility		$14,947.57	$14,947.57	$14,947.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,050.26 / $8,541.52 / $8,541.52	Professional		$5,050.26	$8,541.52	$8,541.52
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 $1,345.49 / $3,589.21 / $5,484.18	Professional		$1,345.49	$3,589.21	$5,484.18