Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.87 / $1,101.19 / $3,691.81	Facility		$617.87	$1,101.19	$3,691.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.19 / $1,666.91 / $6,746.85	Professional		$1,101.19	$1,666.91	$6,746.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,793.00 / $15,494.00 / $19,992.00	Facility		$6,793.00	$15,494.00	$19,992.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.87 / $1,542.67 / $5,699.28	Professional		$571.87	$1,542.67	$5,699.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,768.24 / $3,234.91 / $5,217.79	Facility		$2,768.24	$3,234.91	$5,217.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.50 / $2,003.13 / $4,076.95	Professional		$931.50	$2,003.13	$4,076.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $685.09 / $1,979.40	Facility		$329.53	$685.09	$1,979.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.50 / $2,083.21 / $19,754.00	Facility		$351.50	$2,083.21	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,496.14 / $4,261.02 / $7,104.98	Professional		$1,496.14	$4,261.02	$7,104.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,028.42 / $2,583.57	Professional		$85.00	$1,028.42	$2,583.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $685.09 / $1,979.40	Facility		$329.53	$685.09	$1,979.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $723.03 / $1,382.08 / $3,436.33	Professional		$723.03	$1,382.08	$3,436.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,896.17 / $1,896.17 / $1,896.17	Facility		$1,896.17	$1,896.17	$1,896.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,535.00 / $4,261.02 / $7,603.36	Professional		$1,535.00	$4,261.02	$7,603.36
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 $1,372.89 / $4,253.68 / $6,167.14	Professional		$1,372.89	$4,253.68	$6,167.14