Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $17,823.00	Facility		$791.70	$791.70	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $1,166.83	Professional		$791.70	$791.70	$1,166.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.28 / $1,038.09 / $1,043.85	Professional		$887.28	$1,038.09	$1,043.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,369.94 / $2,769.47 / $4,467.06	Facility		$2,369.94	$2,769.47	$4,467.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.66 / $2,169.75 / $4,533.52	Professional		$1,444.66	$2,169.75	$4,533.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $3,150.00	Facility		$791.70	$791.70	$3,150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $3,150.00 / $7,868.00	Facility		$791.70	$3,150.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,076.66 / $2,040.80 / $4,650.50	Professional		$1,076.66	$2,040.80	$4,650.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $3,967.59	Professional		$50.00	$85.00	$3,967.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $3,150.00	Facility		$791.70	$791.70	$3,150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,127.82 / $7,127.82 / $7,127.82	Professional		$7,127.82	$7,127.82	$7,127.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.66 / $3,121.76 / $5,578.13	Professional		$1,076.66	$3,121.76	$5,578.13