Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,461.00 / $6,461.00 / $17,823.00	Facility		$6,461.00	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $7,704.74 / $7,704.74	Professional		$1,917.60	$7,704.74	$7,704.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,290.00 / $18,458.00	Facility		$7,084.00	$11,290.00	$18,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,504.25 / $4,504.25 / $4,504.25	Professional		$4,504.25	$4,504.25	$4,504.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,694.33 / $4,694.33 / $4,694.33	Facility		$4,694.33	$4,694.33	$4,694.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,694.33 / $11,733.00 / $15,743.00	Facility		$4,694.33	$11,733.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,559.49 / $6,559.49 / $6,559.49	Professional		$6,559.49	$6,559.49	$6,559.49
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 $4,694.33 / $4,694.33 / $4,694.33	Facility		$4,694.33	$4,694.33	$4,694.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $3,877.00 / $3,877.00	Facility		$3,877.00	$3,877.00	$3,877.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,559.49 / $6,559.49 / $6,559.49	Professional		$6,559.49	$6,559.49	$6,559.49
United Facility/Professional Facility Modifier Low / Median / High Price $7,590.00 / $11,799.00 / $13,980.00	Facility		$7,590.00	$11,799.00	$13,980.00