Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.35 / $10,316.12 / $21,406.74	Facility		$845.35	$10,316.12	$21,406.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $612.60 / $10,160.25	Professional		$590.46	$612.60	$10,160.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.01 / $714.75 / $741.34	Facility		$615.01	$714.75	$741.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $615.05	Professional		$615.05	$615.05	$615.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $988.12 / $1,604.80 / $2,562.06	Facility		$988.12	$1,604.80	$2,562.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $940.31	Professional		$627.36	$627.36	$940.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $597.84 / $879.79	Facility		$590.46	$597.84	$879.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $627.36 / $1,476.15	Facility		$590.46	$627.36	$1,476.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $1,291.63	Professional		$615.05	$615.05	$1,291.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,025.65	Professional		$50.00	$70.00	$2,025.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $590.46 / $879.79	Facility		$590.46	$590.46	$879.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $701.17 / $1,329.76 / $2,611.35	Facility		$701.17	$1,329.76	$2,611.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $738.14 / $2,646.17	Professional		$627.36	$738.14	$2,646.17
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $738.07	Professional		$615.05	$615.05	$738.07