Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $17,823.00	Facility		$1,875.00	$1,875.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $1,875.00 / $1,875.00	Professional		$1,800.00	$1,875.00	$1,875.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.26 / $592.26 / $2,696.67	Professional		$592.26	$592.26	$2,696.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,487.98 / $2,907.42 / $4,689.56	Facility		$2,487.98	$2,907.42	$4,689.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.62 / $2,277.83 / $4,759.33	Professional		$1,516.62	$2,277.83	$4,759.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,343.75	Facility		$1,875.00	$1,875.00	$2,343.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $3,583.00 / $9,547.50	Facility		$1,875.00	$3,583.00	$9,547.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
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 $1,875.00 / $1,875.00 / $2,343.75	Facility		$1,875.00	$1,875.00	$2,343.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00