Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $4,131.34 / $17,792.04	Facility		$0.85	$4,131.34	$17,792.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.77 / $3,235.00 / $27,948.00	Professional		$849.77	$3,235.00	$27,948.00
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 $4,004.79 / $4,004.79 / $4,004.79	Professional		$4,004.79	$4,004.79	$4,004.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,947.17 / $3,947.17 / $3,947.17	Facility		$3,947.17	$3,947.17	$3,947.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,947.17 / $8,993.00 / $15,743.00	Facility		$3,947.17	$8,993.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,004.79 / $4,004.79 / $4,004.79	Professional		$4,004.79	$4,004.79	$4,004.79
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 $3,947.17 / $3,947.17 / $3,947.17	Facility		$3,947.17	$3,947.17	$3,947.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,475.55 / $3,475.55 / $3,475.55	Facility		$3,475.55	$3,475.55	$3,475.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,004.79 / $4,004.79 / $4,004.79	Professional		$4,004.79	$4,004.79	$4,004.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,797.56 / $3,797.56 / $3,797.56	Professional		$3,797.56	$3,797.56	$3,797.56
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