Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $12,030.50 / $14,482.00	Facility		$47.86	$12,030.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $47.86 / $257.60	Professional		$15.00	$47.86	$257.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $1,756.11	Professional		$1.03	$1.03	$1,756.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $10.42	Professional		$7.60	$7.60	$10.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $59.83	Facility		$47.86	$47.86	$59.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.60 / $1,449.00 / $3,800.00	Facility		$257.60	$1,449.00	$3,800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $59.83	Facility		$47.86	$47.86	$59.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $7.60	Professional		$7.60	$7.60	$7.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90