Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,256.00 / $14,482.00 / $17,823.00	Facility		$3,256.00	$14,482.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.00 / $5,697.16 / $19,694.50	Professional		$1,598.00	$5,697.16	$19,694.50
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 Facility Modifier Low / Median / High Price $3,427.86 / $4,005.73 / $6,461.09	Facility		$3,427.86	$4,005.73	$6,461.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.59 / $2,920.05 / $6,204.07	Professional		$2,154.59	$2,920.05	$6,204.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,730.00 / $3,547.50 / $4,387.50	Facility		$2,730.00	$3,547.50	$4,387.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,375.50 / $8,610.79 / $15,702.00	Facility		$3,375.50	$8,610.79	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17,232.93 / $17,232.93 / $17,232.93	Professional		$17,232.93	$17,232.93	$17,232.93
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 $2,730.00 / $3,705.00 / $4,387.50	Facility		$2,730.00	$3,705.00	$4,387.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,452.00 / $7,452.00 / $7,452.00	Facility		$7,452.00	$7,452.00	$7,452.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17,232.93 / $17,232.93 / $17,232.93	Professional		$17,232.93	$17,232.93	$17,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00