Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.98 / $2,348.94 / $30,824.80	Facility		$1,317.98	$2,348.94	$30,824.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,348.94 / $3,570.56 / $55,769.30	Professional		$2,348.94	$3,570.56	$55,769.30
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 $1,217.21 / $10,100.95 / $44,941.04	Professional		$1,217.21	$10,100.95	$44,941.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,940.06 / $27,975.85 / $45,124.05	Facility		$23,940.06	$27,975.85	$45,124.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,596.11 / $2,979.72 / $36,279.97	Professional		$1,596.11	$2,979.72	$36,279.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $702.92 / $1,465.47 / $16,527.03	Facility		$702.92	$1,465.47	$16,527.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.79 / $12,162.00 / $19,754.00	Facility		$749.79	$12,162.00	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11,216.73 / $29,069.00 / $50,581.43	Professional		$11,216.73	$29,069.00	$50,581.43
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 $702.92 / $1,465.47 / $16,527.03	Facility		$702.92	$1,465.47	$16,527.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,560.79 / $8,980.62 / $28,352.53	Professional		$1,560.79	$8,980.62	$28,352.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,257.13 / $15,257.13 / $15,257.13	Facility		$15,257.13	$15,257.13	$15,257.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,279.15 / $32,442.66 / $64,169.76	Professional		$3,279.15	$32,442.66	$64,169.76
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 $10,151.74 / $21,644.21 / $43,313.12	Professional		$10,151.74	$21,644.21	$43,313.12