Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.13 / $675.69 / $2,839.32	Facility		$379.13	$675.69	$2,839.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.69 / $1,026.48 / $5,529.09	Professional		$675.69	$1,026.48	$5,529.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.65 / $1,110.75 / $4,623.97	Professional		$351.65	$1,110.75	$4,623.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,167.19 / $2,532.54 / $4,084.89	Facility		$2,167.19	$2,532.54	$4,084.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.86 / $1,510.89 / $3,310.02	Professional		$428.86	$1,510.89	$3,310.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.20 / $420.26 / $1,522.33	Facility		$202.20	$420.26	$1,522.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $1,607.62 / $16,779.00	Facility		$215.68	$1,607.62	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,223.10 / $3,469.69 / $5,808.41	Professional		$1,223.10	$3,469.69	$5,808.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $724.69 / $1,918.82	Professional		$85.00	$724.69	$1,918.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $202.20 / $420.26 / $1,522.33	Facility		$202.20	$420.26	$1,522.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.60 / $848.84 / $2,638.00	Professional		$446.60	$848.84	$2,638.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,448.83 / $1,448.83 / $1,448.83	Facility		$1,448.83	$1,448.83	$1,448.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $945.80 / $3,503.22 / $5,964.52	Professional		$945.80	$3,503.22	$5,964.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.73 / $3,226.01 / $5,041.71	Professional		$1,068.73	$3,226.01	$5,041.71