Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.14 / $1,592.14 / $1,592.14	Facility		$1,592.14	$1,592.14	$1,592.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.46 / $1,533.20 / $1,765.30	Professional		$1,372.46	$1,533.20	$1,765.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $1,332.49 / $1,407.16	Professional		$53.31	$1,332.49	$1,407.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,518.22 / $5,279.89 / $8,099.49	Facility		$4,518.22	$5,279.89	$8,099.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.00 / $2,863.59 / $3,254.08	Professional		$1,977.00	$2,863.59	$3,254.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.19 / $1,604.90 / $2,235.87	Facility		$1,380.19	$1,604.90	$2,235.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.19 / $1,604.90 / $2,235.87	Facility		$1,380.19	$1,604.90	$2,235.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $2,545.50	Professional		$50.00	$65.00	$2,545.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,380.19 / $1,604.90 / $2,235.87	Facility		$1,380.19	$1,604.90	$2,235.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.88 / $1,698.88 / $1,698.88	Professional		$1,698.88	$1,698.88	$1,698.88