Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.84 / $1,824.71 / $14,265.20	Facility		$1,023.84	$1,824.71	$14,265.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.71 / $2,769.13 / $26,940.70	Professional		$1,824.71	$2,769.13	$26,940.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.43 / $5,000.35 / $22,316.21	Professional		$949.43	$5,000.35	$22,316.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,027.01 / $12,885.93 / $20,784.54	Facility		$11,027.01	$12,885.93	$20,784.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.77 / $2,030.11 / $15,913.04	Professional		$1,020.77	$2,030.11	$15,913.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $546.04 / $1,137.45 / $7,648.43	Facility		$546.04	$1,137.45	$7,648.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.45 / $7,648.43 / $16,779.00	Facility		$582.45	$7,648.43	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,738.54 / $15,682.37 / $28,196.34	Professional		$5,738.54	$15,682.37	$28,196.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $3,659.45 / $9,917.50	Professional		$85.00	$3,659.45	$9,917.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $546.04 / $1,137.45 / $7,648.43	Facility		$546.04	$1,137.45	$7,648.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,215.06 / $4,172.52 / $13,172.96	Professional		$1,215.06	$4,172.52	$13,172.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,143.30 / $7,143.30 / $7,143.30	Facility		$7,143.30	$7,143.30	$7,143.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $238.88 / $238.88 / $238.88	Facility	AS	$238.88	$238.88	$238.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,546.05 / $15,682.37 / $29,736.32	Professional		$2,546.05	$15,682.37	$29,736.32
United Facility/Professional Professional Modifier Low / Median / High Price $5,129.24 / $15,185.59 / $24,474.51	Professional		$5,129.24	$15,185.59	$24,474.51