Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,711.61 / $2,711.61 / $4,832.68	Facility		$2,711.61	$2,711.61	$4,832.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,479.46 / $6,099.33 / $7,001.33	Professional		$4,479.46	$6,099.33	$7,001.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,279.57 / $2,973.06 / $7,587.51	Professional		$1,279.57	$2,973.06	$7,587.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,416.15 / $3,992.04 / $6,123.89	Facility		$3,416.15	$3,992.04	$6,123.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,601.59 / $5,254.10 / $5,970.56	Professional		$2,601.59	$5,254.10	$5,970.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.32 / $1,894.84 / $3,012.90	Facility		$1,288.32	$1,894.84	$3,012.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.32 / $2,661.01 / $14,246.00	Facility		$1,288.32	$2,661.01	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,455.29 / $2,794.46 / $10,836.20	Professional		$1,455.29	$2,794.46	$10,836.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $797.72 / $2,553.60	Professional		$126.60	$797.72	$2,553.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,288.32 / $1,870.66 / $3,012.90	Facility		$1,288.32	$1,870.66	$3,012.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,646.15 / $3,224.23 / $4,813.14	Professional		$2,646.15	$3,224.23	$4,813.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,383.04 / $9,383.04 / $9,383.04	Facility		$9,383.04	$9,383.04	$9,383.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,530.86 / $6,380.05 / $10,836.20	Professional		$5,530.86	$6,380.05	$10,836.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $5,729.00 / $5,729.00	Facility		$5,729.00	$5,729.00	$5,729.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.76 / $2,794.46 / $5,805.85	Professional		$1,434.76	$2,794.46	$5,805.85