Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.39 / $737.39 / $1,314.20	Facility		$737.39	$737.39	$1,314.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.39 / $1,375.50 / $1,985.43	Professional		$737.39	$1,375.50	$1,985.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.12 / $888.73 / $2,214.53	Professional		$365.12	$888.73	$2,214.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $911.93 / $1,065.67 / $1,718.88	Facility		$911.93	$1,065.67	$1,718.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.68 / $1,112.83 / $1,461.76	Professional		$690.68	$1,112.83	$1,461.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $360.50 / $511.17 / $706.51	Facility		$360.50	$511.17	$706.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.49 / $2,803.00 / $7,868.00	Facility		$419.49	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.53 / $1,176.98 / $2,148.46	Professional		$443.53	$1,176.98	$2,148.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $549.99 / $902.59	Professional		$85.00	$549.99	$902.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $360.50 / $511.17 / $706.51	Facility		$360.50	$511.17	$706.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $750.10 / $1,158.27 / $1,496.13	Professional		$750.10	$1,158.27	$1,496.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,746.95 / $1,746.95 / $1,746.95	Facility		$1,746.95	$1,746.95	$1,746.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,512.95 / $1,821.90 / $4,568.99	Professional		$1,512.95	$1,821.90	$4,568.99
United Facility/Professional Professional Modifier Low / Median / High Price $443.53 / $1,175.84 / $1,864.87	Professional		$443.53	$1,175.84	$1,864.87