Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,466.00 / $9,245.00 / $17,823.00	Facility		$8,466.00	$9,245.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,536.72 / $16,536.72 / $16,536.72	Professional		$16,536.72	$16,536.72	$16,536.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19,054.90 / $19,531.27 / $22,389.51	Professional		$19,054.90	$19,531.27	$22,389.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,576.48 / $19,576.48 / $19,576.48	Facility		$19,576.48	$19,576.48	$19,576.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16,536.72 / $16,536.72 / $16,536.72	Facility		$16,536.72	$16,536.72	$16,536.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,721.00 / $17,327.00	Facility		$8,627.00	$13,721.00	$17,327.00
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 $16,536.72 / $16,536.72 / $16,536.72	Facility		$16,536.72	$16,536.72	$16,536.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,576.48 / $19,576.48 / $19,576.48	Facility		$19,576.48	$19,576.48	$19,576.48
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