Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.30 / $1,894.00 / $15,329.52	Facility		$1,668.30	$1,894.00	$15,329.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $539.75 / $1,526.70	Professional		$506.00	$539.75	$1,526.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $234.83 / $360.23	Facility		$200.95	$234.83	$360.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $160.53 / $320.83	Professional		$122.49	$160.53	$320.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,545.50 / $4,545.50 / $4,545.50	Facility		$4,545.50	$4,545.50	$4,545.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,449.00 / $3,800.00	Facility		$916.00	$1,449.00	$3,800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,325.39 / $3,325.39 / $6,740.10	Professional		$3,325.39	$3,325.39	$6,740.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,545.50 / $4,545.50 / $4,545.50	Facility		$4,545.50	$4,545.50	$4,545.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,325.39 / $3,325.39 / $3,325.39	Professional		$3,325.39	$3,325.39	$3,325.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90