Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $14,482.00 / $29,141.65	Facility		$1,085.11	$14,482.00	$29,141.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,193.63	Professional		$1,085.10	$1,085.11	$1,193.63
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.29 / $820.32 / $967.00	Professional		$700.29	$820.32	$967.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,562.26 / $3,562.26 / $3,562.26	Professional		$3,562.26	$3,562.26	$3,562.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,085.11 / $1,627.68	Facility		$1,085.11	$1,085.11	$1,627.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,150.23 / $13,250.00	Facility		$1,085.11	$1,150.23	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,562.26 / $3,562.26 / $3,562.26	Professional		$3,562.26	$3,562.26	$3,562.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $167.22	Professional		$50.00	$70.00	$167.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,085.11 / $2,858.67	Facility		$1,085.11	$1,085.11	$2,858.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,662.70 / $4,662.70 / $4,662.70	Facility		$4,662.70	$4,662.70	$4,662.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,562.26 / $3,562.26 / $3,562.26	Professional		$3,562.26	$3,562.26	$3,562.26
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 $7,590.00 / $11,799.00 / $14,978.00	Facility		$7,590.00	$11,799.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $90.00	Professional		$60.00	$75.00	$90.00