Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.77 / $11,080.50 / $17,648.28	Facility		$1,270.77	$11,080.50	$17,648.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,223.43 / $1,502.27	Professional		$855.90	$1,223.43	$1,502.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.13 / $2,484.11 / $6,665.98	Professional		$1,086.13	$2,484.11	$6,665.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $1,324.14 / $1,324.14	Facility		$1,324.14	$1,324.14	$1,324.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.43 / $4,286.16 / $4,870.64	Professional		$1,264.43	$4,286.16	$4,870.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,080.15 / $1,275.00 / $2,143.08	Facility		$1,080.15	$1,275.00	$2,143.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.91 / $1,550.88 / $6,235.00	Facility		$1,089.91	$1,550.88	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,121.45 / $2,172.79 / $8,606.87	Professional		$1,121.45	$2,172.79	$8,606.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $3,438.01	Professional		$50.00	$70.00	$3,438.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,085.68 / $1,275.00 / $2,143.08	Facility		$1,085.68	$1,275.00	$2,143.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,526.22 / $2,801.03 / $4,032.52	Professional		$1,526.22	$2,801.03	$4,032.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $10,954.40 / $10,954.40	Facility		$1,324.14	$10,954.40	$10,954.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,920.34 / $4,938.14 / $8,606.87	Professional		$1,920.34	$4,938.14	$8,606.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.07 / $2,354.76 / $4,790.81	Professional		$1,088.07	$2,354.76	$4,790.81