Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $6,461.00 / $14,482.00	Facility		$517.50	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $1,040.80	Professional		$517.50	$517.50	$1,040.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,222.46 / $2,439.48 / $2,439.48	Professional		$1,222.46	$2,439.48	$2,439.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.68 / $1,483.72 / $2,393.19	Facility		$1,269.68	$1,483.72	$2,393.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.96 / $1,162.43 / $2,428.79	Professional		$773.96	$1,162.43	$2,428.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $517.50 / $735.00	Facility		$517.50	$517.50	$735.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $8,610.79 / $15,743.00	Facility		$517.50	$8,610.79	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,308.85 / $4,308.85 / $4,308.85	Professional		$4,308.85	$4,308.85	$4,308.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $965.58	Professional		$50.00	$85.00	$965.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $517.50 / $735.00	Facility		$517.50	$517.50	$735.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,308.85 / $4,308.85 / $4,308.85	Professional		$4,308.85	$4,308.85	$4,308.85
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00