Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.81 / $6,387.66 / $20,179.90	Facility		$821.81	$6,387.66	$20,179.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $5,506.43 / $9,465.37	Professional		$781.38	$5,506.43	$9,465.37
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 $1,343.47 / $6,076.30 / $28,914.33	Professional		$1,343.47	$6,076.30	$28,914.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,580.36 / $18,206.89 / $29,367.07	Facility		$15,580.36	$18,206.89	$29,367.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.81 / $3,156.83 / $20,541.46	Professional		$1,262.81	$3,156.83	$20,541.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $821.81 / $1,851.03 / $9,465.37	Facility		$821.81	$1,851.03	$9,465.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $837.60 / $7,775.00 / $19,754.00	Facility		$837.60	$7,775.00	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,049.04 / $20,021.41 / $37,606.92	Professional		$2,049.04	$20,021.41	$37,606.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $343.24 / $3,427.47 / $10,927.96	Professional		$343.24	$3,427.47	$10,927.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $821.81 / $1,851.03 / $9,465.37	Facility		$821.81	$1,851.03	$9,465.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,756.35 / $5,274.02 / $19,275.04	Professional		$1,756.35	$5,274.02	$19,275.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,939.76 / $9,939.76 / $9,939.76	Facility		$9,939.76	$9,939.76	$9,939.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,168.08 / $21,062.21 / $41,874.56	Professional		$1,168.08	$21,062.21	$41,874.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,994.12 / $18,395.14 / $27,986.07	Professional		$2,994.12	$18,395.14	$27,986.07
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $22,691.00	Facility		$8,650.00	$14,566.00	$22,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,273.45 / $21,373.60 / $27,238.83	Professional		$5,273.45	$21,373.60	$27,238.83