Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,422.04 / $38,556.80	Facility		$1,359.00	$2,422.04	$38,556.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,422.04 / $3,700.69 / $79,555.60	Professional		$2,422.04	$3,700.69	$79,555.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.56 / $14,305.76 / $61,035.70	Professional		$1,260.56	$14,305.76	$61,035.70
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $201.68 / $2,288.92 / $10,386.75	Professional	80	$201.68	$2,288.92	$10,386.75
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $176.47 / $2,002.80 / $9,088.40	Professional	AS	$176.47	$2,002.80	$9,088.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,044.24 / $35,109.07 / $56,629.69	Facility		$30,044.24	$35,109.07	$56,629.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.65 / $3,069.42 / $43,178.91	Professional		$1,552.65	$3,069.42	$43,178.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.80 / $1,522.53 / $21,419.43	Facility		$724.80	$1,522.53	$21,419.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.12 / $15,854.90 / $26,727.00	Facility		$773.12	$15,854.90	$26,727.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16,201.49 / $42,239.10 / $72,107.75	Professional		$16,201.49	$42,239.10	$72,107.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $9,839.38 / $26,957.55	Professional		$85.00	$9,839.38	$26,957.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $724.80 / $1,522.53 / $21,419.43	Facility		$724.80	$1,522.53	$21,419.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,606.22 / $11,221.20 / $35,426.18	Professional		$1,606.22	$11,221.20	$35,426.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,606.30 / $5,606.30 / $5,606.30	Facility		$5,606.30	$5,606.30	$5,606.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,400.45 / $42,239.10 / $80,423.03	Professional		$3,400.45	$42,239.10	$80,423.03
United Facility/Professional Facility Modifier Low / Median / High Price $9,325.00 / $45,914.30 / $59,205.28	Facility		$9,325.00	$45,914.30	$59,205.28
United Facility/Professional Professional Modifier Low / Median / High Price $14,479.96 / $48,500.44 / $72,107.75	Professional		$14,479.96	$48,500.44	$72,107.75