Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $6,520.52	Facility		$2,924.00	$2,924.00	$6,520.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $3,655.00	Professional		$2,924.00	$2,924.00	$3,655.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,106.75	Professional		$3,045.83	$3,045.83	$3,106.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,684.50 / $6,740.38 / $9,553.45	Facility		$3,684.50	$6,740.38	$9,553.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,889.15 / $3,895.72 / $4,426.95	Professional		$2,889.15	$3,895.72	$4,426.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $3,655.00 / $3,655.00	Facility		$2,924.00	$3,655.00	$3,655.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $3,163.15 / $3,655.00	Facility		$2,924.00	$3,163.15	$3,655.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,959.58	Professional		$3,045.83	$3,045.83	$3,959.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $10,711.33	Professional		$50.00	$85.00	$10,711.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $3,655.00 / $3,655.00	Facility		$2,924.00	$3,655.00	$3,655.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,731.30 / $15,731.30 / $15,731.30	Facility		$15,731.30	$15,731.30	$15,731.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $4,170.35	Professional		$3,045.83	$3,045.83	$4,170.35