Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.59 / $11,257.16 / $27,232.30	Facility		$695.59	$11,257.16	$27,232.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $2,970.02 / $14,819.99	Professional		$568.47	$2,970.02	$14,819.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.46 / $9,432.42 / $44,309.90	Professional		$882.46	$9,432.42	$44,309.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,102.01 / $26,996.53 / $43,544.44	Facility		$23,102.01	$26,996.53	$43,544.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.77 / $2,692.53 / $33,661.04	Professional		$1,020.77	$2,692.53	$33,661.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $598.66 / $1,151.58 / $16,114.62	Facility		$598.66	$1,151.58	$16,114.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.58 / $12,162.00 / $19,754.00	Facility		$638.58	$12,162.00	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,776.65 / $30,970.22 / $53,033.74	Professional		$10,776.65	$30,970.22	$53,033.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $7,637.94 / $20,955.76	Professional		$85.00	$7,637.94	$20,955.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $598.66 / $1,151.58 / $16,114.62	Facility		$598.66	$1,151.58	$16,114.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,262.80 / $8,719.49 / $27,528.08	Professional		$1,262.80	$8,719.49	$27,528.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,407.70 / $13,407.70 / $13,407.70	Facility		$13,407.70	$13,407.70	$13,407.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $967.39 / $30,709.93 / $61,794.72	Professional		$967.39	$30,709.93	$61,794.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,255.93 / $40,750.12 / $59,303.31	Professional		$3,255.93	$40,750.12	$59,303.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,786.06 / $29,048.99 / $47,944.27	Professional		$9,786.06	$29,048.99	$47,944.27