Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.13 / $2,359.89 / $30,824.60	Facility		$1,324.13	$2,359.89	$30,824.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,359.89 / $3,596.26 / $62,049.10	Professional		$2,359.89	$3,596.26	$62,049.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.46 / $10,915.44 / $46,810.65	Professional		$1,226.46	$10,915.44	$46,810.65
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $196.23 / $1,746.47 / $7,635.52	Professional	80	$196.23	$1,746.47	$7,635.52
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $171.70 / $1,528.16 / $6,681.08	Professional	AS	$171.70	$1,528.16	$6,681.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,912.12 / $27,943.20 / $45,071.40	Facility		$23,912.12	$27,943.20	$45,071.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.70 / $3,164.84 / $34,494.12	Professional		$1,514.70	$3,164.84	$34,494.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $706.20 / $1,477.34 / $16,622.25	Facility		$706.20	$1,477.34	$16,622.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $753.28 / $12,162.00 / $21,512.00	Facility		$753.28	$12,162.00	$21,512.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12,650.20 / $32,370.31 / $56,268.77	Professional		$12,650.20	$32,370.31	$56,268.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $7,884.03 / $21,542.44	Professional		$85.00	$7,884.03	$21,542.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $706.20 / $1,477.34 / $16,622.25	Facility		$706.20	$1,477.34	$16,622.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,554.63 / $8,974.52 / $28,333.22	Professional		$1,554.63	$8,974.52	$28,333.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,434.87 / $5,434.87 / $5,434.87	Facility		$5,434.87	$5,434.87	$5,434.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,307.65 / $32,370.31 / $64,091.60	Professional		$3,307.65	$32,370.31	$64,091.60
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 $11,626.26 / $36,057.24 / $48,925.35	Professional		$11,626.26	$36,057.24	$48,925.35