Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.54 / $1,274.54 / $1,274.54	Facility		$1,274.54	$1,274.54	$1,274.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.48 / $1,590.18 / $1,924.17	Professional		$1,119.48	$1,590.18	$1,924.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,425.00 / $4,433.00	Facility		$1,139.00	$2,425.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.79 / $670.95 / $2,416.89	Professional		$354.79	$670.95	$2,416.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.01 / $1,043.55 / $1,683.21	Facility		$893.01	$1,043.55	$1,683.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.72 / $984.65 / $1,423.08	Professional		$675.72	$984.65	$1,423.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $484.35 / $1,173.00	Facility		$349.62	$484.35	$1,173.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.41 / $2,429.00 / $7,700.00	Facility		$381.41	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $425.48 / $809.12 / $2,369.26	Professional		$425.48	$809.12	$2,369.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $522.05 / $792.94	Professional		$85.00	$522.05	$792.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $484.35 / $1,173.00	Facility		$349.62	$484.35	$1,173.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $832.75 / $1,054.06 / $1,310.91	Professional		$832.75	$1,054.06	$1,310.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,796.83 / $3,796.83 / $3,796.83	Facility		$3,796.83	$3,796.83	$3,796.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,468.08 / $3,104.08 / $3,104.08	Professional		$1,468.08	$3,104.08	$3,104.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,534.00 / $2,534.00 / $2,534.00	Facility		$2,534.00	$2,534.00	$2,534.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.11 / $724.58 / $1,852.19	Professional		$423.11	$724.58	$1,852.19