Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $17,823.00	Facility		$1,987.50	$1,987.50	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,465.19	Professional		$1,987.50	$1,987.50	$3,465.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,408.00 / $17,436.00	Facility		$6,538.00	$10,408.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.59 / $843.64 / $1,116.00	Professional		$705.59	$843.64	$1,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $455.00 / $1,134.00	Professional		$108.34	$455.00	$1,134.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,389.94	Facility		$1,987.50	$1,987.50	$3,389.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,219.04 / $7,700.00	Facility		$1,987.50	$2,219.04	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,637.50 / $4,637.50 / $4,637.50	Professional		$4,637.50	$4,637.50	$4,637.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $418.16	Professional		$50.00	$65.00	$418.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,040.88	Facility		$1,987.50	$1,987.50	$3,040.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.80 / $4,637.50 / $4,637.50	Professional		$436.80	$4,637.50	$4,637.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00