Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $17,823.00	Facility		$1,652.17	$1,652.17	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $6,088.24	Professional		$1,652.17	$1,652.17	$6,088.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.12 / $1,089.07 / $1,150.40	Professional		$731.12	$1,089.07	$1,150.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $599.76 / $1,134.00	Professional		$364.00	$599.76	$1,134.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $2,313.04	Facility		$1,652.17	$1,652.17	$2,313.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,751.30 / $7,700.00	Facility		$1,652.17	$1,751.30	$7,700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,631.75	Professional		$50.00	$70.00	$2,631.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $2,313.04	Facility		$1,652.17	$1,652.17	$2,313.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $436.80 / $805.00	Professional		$364.00	$436.80	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00