Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.84 / $1,496.77 / $10,069.40	Facility		$839.84	$1,496.77	$10,069.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.77 / $2,271.78 / $18,681.90	Professional		$1,496.77	$2,271.78	$18,681.90
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 $778.32 / $3,445.72 / $15,687.97	Professional		$778.32	$3,445.72	$15,687.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,758.64 / $9,066.59 / $14,624.09	Facility		$7,758.64	$9,066.59	$14,624.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.03 / $1,673.25 / $11,218.08	Professional		$950.03	$1,673.25	$11,218.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $447.91 / $930.27 / $5,398.78	Facility		$447.91	$930.27	$5,398.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.77 / $5,731.64 / $16,779.00	Facility		$477.77	$5,731.64	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,982.12 / $11,001.13 / $19,566.13	Professional		$3,982.12	$11,001.13	$19,566.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,585.55 / $6,970.58	Professional		$85.00	$2,585.55	$6,970.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $447.91 / $930.27 / $5,398.78	Facility		$447.91	$930.27	$5,398.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $997.92 / $2,950.26 / $9,314.19	Professional		$997.92	$2,950.26	$9,314.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,066.78 / $5,066.78 / $5,066.78	Facility		$5,066.78	$5,066.78	$5,066.78
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $392.38 / $392.38 / $392.38	Facility	53	$392.38	$392.38	$392.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $196.19 / $196.19 / $196.19	Facility	AS	$196.19	$196.19	$196.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,087.69 / $11,001.13 / $20,972.32	Professional		$2,087.69	$11,001.13	$20,972.32
United Facility/Professional Professional Modifier Low / Median / High Price $3,562.60 / $11,818.26 / $16,983.46	Professional		$3,562.60	$11,818.26	$16,983.46