Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $6,461.00 / $14,482.00	Facility		$40.00	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $40.00 / $2,719.85	Professional		$38.33	$40.00	$2,719.85
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.34 / $673.34 / $673.34	Professional		$379.34	$673.34	$673.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Facility		$40.00	$40.00	$50.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $3,839.00 / $9,547.50	Facility		$40.00	$3,839.00	$9,547.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Facility		$40.00	$40.00	$50.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00