Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $14,482.00 / $14,972.33	Facility		$3,888.42	$14,482.00	$14,972.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,888.42 / $6,710.07	Professional		$3,800.00	$3,888.42	$6,710.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,823.00 / $26,530.00	Facility		$12,080.00	$16,823.00	$26,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,484.00	Professional		$5,141.25	$5,141.25	$5,484.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $3,888.42 / $4,860.53	Facility		$3,888.42	$3,888.42	$4,860.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $10,617.00 / $17,200.00	Facility		$3,888.42	$10,617.00	$17,200.00
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 $3,888.42 / $3,888.42 / $4,860.53	Facility		$3,888.42	$3,888.42	$4,860.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00