Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.33 / $1,203.33 / $2,144.63	Facility		$1,203.33	$1,203.33	$2,144.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.33 / $2,183.13 / $3,212.30	Professional		$1,203.33	$2,183.13	$3,212.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.66 / $1,439.26 / $3,584.11	Professional		$589.66	$1,439.26	$3,584.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.36 / $1,753.30 / $2,828.00	Facility		$1,500.36	$1,753.30	$2,828.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,136.63 / $1,813.99 / $2,405.57	Professional		$1,136.63	$1,813.99	$2,405.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.29 / $892.50 / $1,149.85	Facility		$588.29	$892.50	$1,149.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $679.47 / $8,791.00 / $16,779.00	Facility		$679.47	$8,791.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.47 / $2,008.30 / $3,460.01	Professional		$734.47	$2,008.30	$3,460.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $686.48 / $1,412.49	Professional		$76.54	$686.48	$1,412.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $588.29 / $892.50 / $1,149.85	Facility		$588.29	$892.50	$1,149.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,210.95 / $1,869.89 / $2,438.82	Professional		$1,210.95	$1,869.89	$2,438.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,466.23 / $4,498.75 / $4,498.75	Professional		$2,466.23	$4,498.75	$4,498.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,205.72 / $4,205.72 / $4,283.56	Facility		$4,205.72	$4,205.72	$4,283.56
United Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $2,008.30 / $3,003.30	Professional		$723.24	$2,008.30	$3,003.30