Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $3,763.73 / $14,482.00	Facility		$1,811.41	$3,763.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.86 / $1,811.41 / $4,386.37	Professional		$1,605.86	$1,811.41	$4,386.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $1,811.41 / $2,264.26	Facility		$1,811.41	$1,811.41	$2,264.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $6,055.00 / $9,469.00	Facility		$1,811.41	$6,055.00	$9,469.00
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 $1,811.41 / $1,811.41 / $2,264.26	Facility		$1,811.41	$1,811.41	$2,264.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00