Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.93 / $2,537.77 / $40,519.69	Facility		$1,423.93	$2,537.77	$40,519.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,537.77 / $3,878.77 / $77,321.60	Professional		$2,537.77	$3,878.77	$77,321.60
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 $1,310.18 / $14,529.94 / $61,549.43	Professional		$1,310.18	$14,529.94	$61,549.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,693.29 / $37,036.12 / $59,737.94	Facility		$31,693.29	$37,036.12	$59,737.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.41 / $2,841.51 / $45,381.42	Professional		$1,725.41	$2,841.51	$45,381.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $759.43 / $1,591.07 / $21,725.02	Facility		$759.43	$1,591.07	$21,725.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.06 / $15,854.90 / $26,727.00	Facility		$810.06	$15,854.90	$26,727.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15,751.39 / $41,757.96 / $70,094.98	Professional		$15,751.39	$41,757.96	$70,094.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $10,344.79 / $28,343.67	Professional		$85.00	$10,344.79	$28,343.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $759.43 / $1,591.07 / $21,725.02	Facility		$759.43	$1,591.07	$21,725.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,663.20 / $11,783.05 / $37,199.98	Professional		$1,663.20	$11,783.05	$37,199.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,776.96 / $5,776.96 / $5,776.96	Facility		$5,776.96	$5,776.96	$5,776.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,566.05 / $42,691.74 / $84,797.60	Professional		$3,566.05	$42,691.74	$84,797.60
United Facility/Professional Facility Modifier Low / Median / High Price $9,325.00 / $9,325.00 / $9,325.00	Facility		$9,325.00	$9,325.00	$9,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $14,601.41 / $41,498.85 / $60,947.16	Professional		$14,601.41	$41,498.85	$60,947.16