Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,412.09 / $4,412.09 / $9,838.95	Facility		$4,412.09	$4,412.09	$9,838.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,971.43 / $4,412.09 / $19,123.20	Professional		$3,971.43	$4,412.09	$19,123.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,273.55 / $7,327.87 / $17,564.93	Professional		$4,273.55	$7,327.87	$17,564.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,960.00 / $40,410.32 / $57,763.92	Facility		$16,960.00	$40,410.32	$57,763.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,052.09 / $8,013.74 / $21,200.16	Professional		$7,052.09	$8,013.74	$21,200.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,924.59 / $9,045.89 / $16,960.00	Facility		$3,924.59	$9,045.89	$16,960.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,346.64 / $3,346.64 / $25,440.00	Professional		$3,346.64	$3,346.64	$25,440.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,928.27 / $16,960.00 / $26,288.00	Facility		$3,928.27	$16,960.00	$26,288.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,680.00 / $19,200.00 / $24,960.00	Professional		$7,680.00	$19,200.00	$24,960.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $56,126.88	Professional		$50.00	$65.00	$56,126.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,924.59 / $9,045.89 / $16,960.00	Facility		$3,924.59	$9,045.89	$16,960.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3,346.64 / $3,346.64 / $25,440.00	Professional		$3,346.64	$3,346.64	$25,440.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,852.60 / $10,009.87 / $13,959.00	Professional		$6,852.60	$10,009.87	$13,959.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,320.00 / $26,288.00	Facility		$16,320.00	$16,320.00	$26,288.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Professional		$16,320.00	$16,960.00	$16,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $19,200.00 / $23,040.00	Professional		$16,320.00	$19,200.00	$23,040.00