Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.70 / $1,746.03 / $27,929.20	Facility		$979.70	$1,746.03	$27,929.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,742.37 / $2,653.59 / $54,937.60	Professional		$1,742.37	$2,653.59	$54,937.60
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 $908.00 / $9,890.14 / $42,560.53	Professional		$908.00	$9,890.14	$42,560.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,787.28 / $25,460.16 / $41,066.33	Facility		$21,787.28	$25,460.16	$41,066.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.68 / $1,845.86 / $32,895.50	Professional		$1,107.68	$1,845.86	$32,895.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $522.50 / $1,092.28 / $14,974.51	Facility		$522.50	$1,092.28	$14,974.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.34 / $12,162.00 / $19,754.00	Facility		$557.34	$12,162.00	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11,190.00 / $29,448.42 / $49,797.57	Professional		$11,190.00	$29,448.42	$49,797.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $7,096.27 / $19,448.93	Professional		$85.00	$7,096.27	$19,448.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $522.50 / $1,092.28 / $14,974.51	Facility		$522.50	$1,092.28	$14,974.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,165.01 / $8,131.38 / $25,671.37	Professional		$1,165.01	$8,131.38	$25,671.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,794.07 / $13,794.07 / $13,794.07	Facility		$13,794.07	$13,794.07	$13,794.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $229.04 / $229.04 / $229.04	Facility	AS	$229.04	$229.04	$229.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,438.00 / $29,448.42 / $58,323.36	Professional		$2,438.00	$29,448.42	$58,323.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,924.00 / $6,924.00 / $6,924.00	Facility		$6,924.00	$6,924.00	$6,924.00
United Facility/Professional Professional Modifier Low / Median / High Price $10,285.54 / $29,482.02 / $43,298.68	Professional		$10,285.54	$29,482.02	$43,298.68