Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $1,751.72	Facility		$1,751.72	$1,751.72	$1,751.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $2,411.21	Professional		$1,751.72	$1,751.72	$2,411.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.50 / $1,844.50 / $1,844.50	Professional		$1,844.50	$1,844.50	$1,844.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $783.67 / $783.67	Professional		$783.67	$783.67	$783.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $3,153.10	Facility		$1,751.72	$1,751.72	$3,153.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $1,751.72 / $2,627.58	Facility		$81.36	$1,751.72	$2,627.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $55.00 / $2,354.13	Professional		$7.85	$55.00	$2,354.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $3,153.10	Facility		$1,751.72	$1,751.72	$3,153.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $81.36 / $2,569.00	Facility		$65.00	$81.36	$2,569.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $783.67 / $783.67	Professional		$783.67	$783.67	$783.67