Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $711.25 / $4,379.35	Facility		$399.08	$711.25	$4,379.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.25 / $1,083.45 / $10,435.50	Professional		$711.25	$1,083.45	$10,435.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.42 / $1,895.54 / $7,576.38	Professional		$369.42	$1,895.54	$7,576.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,370.19 / $3,938.33 / $6,352.39	Facility		$3,370.19	$3,938.33	$6,352.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.07 / $949.80 / $4,873.28	Professional		$602.07	$949.80	$4,873.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $212.84 / $446.75 / $2,490.15	Facility		$212.84	$446.75	$2,490.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.63 / $3,004.34 / $16,779.00	Facility		$225.63	$3,004.34	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,320.76 / $6,597.24 / $12,078.74	Professional		$2,320.76	$6,597.24	$12,078.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,134.68 / $3,580.23	Professional		$85.00	$1,134.68	$3,580.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.84 / $446.75 / $2,490.15	Facility		$212.84	$446.75	$2,490.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $475.86 / $1,285.21 / $4,057.50	Professional		$475.86	$1,285.21	$4,057.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,022.84 / $2,022.84 / $2,022.84	Facility		$2,022.84	$2,022.84	$2,022.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $996.15 / $7,474.75 / $12,762.92	Professional		$996.15	$7,474.75	$12,762.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.94 / $5,612.86 / $9,480.59	Professional		$1,861.94	$5,612.86	$9,480.59