Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $133,232.17	Facility		$1,170.39	$1,170.39	$133,232.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $1,462.99	Professional		$1,170.39	$1,170.39	$1,462.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.46 / $2,752.54 / $2,854.96	Facility		$2,368.46	$2,752.54	$2,854.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,243.54	Professional		$1,219.16	$1,219.16	$1,243.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.19 / $1,462.99 / $2,816.00	Facility		$1,062.19	$1,462.99	$2,816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.25 / $1,062.19 / $1,289.06	Professional		$1,031.25	$1,062.19	$1,289.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,462.99 / $1,462.99	Facility		$1,170.39	$1,462.99	$1,462.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,246.93 / $1,462.99	Facility		$1,170.39	$1,246.93	$1,462.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,584.91	Professional		$1,219.16	$1,219.16	$1,584.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $4,073.01	Professional		$50.00	$65.00	$4,073.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,462.99 / $1,462.99	Facility		$1,170.39	$1,462.99	$1,462.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $6,243.00	Facility		$1,243.54	$1,243.54	$6,243.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,584.91	Professional		$1,219.16	$1,219.16	$1,584.91