Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.72 / $1,352.21 / $8,684.70	Facility		$758.72	$1,352.21	$8,684.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.21 / $2,043.00 / $15,690.40	Professional		$1,352.21	$2,043.00	$15,690.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.08 / $2,863.70 / $13,042.37	Professional		$702.08	$2,863.70	$13,042.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,053.11 / $4,295.55 / $19,779.61	Professional	50	$1,053.11	$4,295.55	$19,779.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,670.99 / $7,795.58 / $12,574.00	Facility		$6,670.99	$7,795.58	$12,574.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.08 / $3,903.33 / $9,673.06	Professional		$867.08	$3,903.33	$9,673.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $404.65 / $840.70 / $4,656.38	Facility		$404.65	$840.70	$4,656.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.63 / $5,534.18 / $16,779.00	Facility		$431.63	$5,534.18	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,345.50 / $9,233.84 / $16,438.13	Professional		$3,345.50	$9,233.84	$16,438.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,237.82 / $6,021.16	Professional		$85.00	$2,237.82	$6,021.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $404.65 / $840.70 / $4,656.38	Facility		$404.65	$840.70	$4,656.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.59 / $2,544.52 / $8,033.23	Professional		$898.59	$2,544.52	$8,033.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,131.03 / $3,131.03 / $3,131.03	Facility		$3,131.03	$3,131.03	$3,131.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,877.10 / $9,233.84 / $18,044.80	Professional		$1,877.10	$9,233.84	$18,044.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,221.14 / $8,447.40 / $14,268.35	Professional		$3,221.14	$8,447.40	$14,268.35