Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,139.00 / $13,367.00 / $17,823.00	Facility		$11,139.00	$13,367.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $297.20 / $297.20	Professional		$297.20	$297.20	$297.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,176.00 / $7,697.00 / $18,768.00	Facility		$5,176.00	$7,697.00	$18,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.82 / $719.81 / $719.81	Professional		$647.82	$719.81	$719.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.66 / $898.23 / $1,448.82	Facility		$768.66	$898.23	$1,448.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.44 / $703.73 / $1,391.19	Professional		$557.44	$703.73	$1,391.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.30 / $367.64 / $514.62	Facility		$263.30	$367.64	$514.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.30 / $8,225.90 / $15,743.00	Facility		$263.30	$8,225.90	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.06 / $612.28 / $1,601.15	Professional		$326.06	$612.28	$1,601.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $928.95	Professional		$50.00	$85.00	$928.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $263.30 / $367.64 / $514.62	Facility		$263.30	$367.64	$514.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $493.35 / $598.70 / $834.90	Professional		$493.35	$598.70	$834.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,405.84 / $2,405.84 / $2,405.84	Facility		$2,405.84	$2,405.84	$2,405.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,107.54 / $1,676.82 / $1,676.82	Professional		$1,107.54	$1,676.82	$1,676.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $597.46 / $1,439.45	Professional		$320.88	$597.46	$1,439.45