Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.99 / $2,022.80 / $30,184.60	Facility		$1,134.99	$2,022.80	$30,184.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,022.80 / $3,079.48 / $61,857.80	Professional		$2,022.80	$3,079.48	$61,857.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.65 / $10,710.26 / $46,257.68	Professional		$898.65	$10,710.26	$46,257.68
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $168.31 / $1,713.64 / $7,741.39	Professional	80	$168.31	$1,713.64	$7,741.39
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $147.27 / $1,499.43 / $6,773.71	Professional	AS	$147.27	$1,499.43	$6,773.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,517.43 / $27,481.98 / $44,327.45	Facility		$23,517.43	$27,481.98	$44,327.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.21 / $2,565.46 / $33,795.80	Professional		$1,374.21	$2,565.46	$33,795.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $605.33 / $1,265.91 / $16,620.02	Facility		$605.33	$1,265.91	$16,620.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.67 / $12,162.00 / $21,512.00	Facility		$645.67	$12,162.00	$21,512.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12,600.74 / $31,793.20 / $56,073.26	Professional		$12,600.74	$31,793.20	$56,073.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $7,697.10 / $21,085.75	Professional		$85.00	$7,697.10	$21,085.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $605.33 / $1,265.91 / $16,620.02	Facility		$605.33	$1,265.91	$16,620.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,339.03 / $8,786.03 / $27,738.17	Professional		$1,339.03	$8,786.03	$27,738.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,750.19 / $13,750.19 / $13,750.19	Facility		$13,750.19	$13,750.19	$13,750.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,828.90 / $31,793.20 / $62,975.68	Professional		$2,828.90	$31,793.20	$62,975.68
United Facility/Professional Professional Modifier Low / Median / High Price $12,600.74 / $35,027.44 / $51,904.32	Professional		$12,600.74	$35,027.44	$51,904.32