Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,855.86 / $8,598.57 / $8,598.57	Facility		$3,855.86	$8,598.57	$8,598.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $3,991.77 / $4,819.82	Professional		$3,855.86	$3,991.77	$4,819.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $6,844.14	Professional		$4,819.82	$4,819.82	$6,844.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $9,820.02 / $17,035.29	Facility		$4,819.82	$9,820.02	$17,035.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $6,252.19	Professional		$4,819.82	$4,819.82	$6,252.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,855.86 / $4,096.85 / $4,895.62	Facility		$3,855.86	$4,096.85	$4,895.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,203.29 / $1,203.29 / $7,229.73	Professional		$1,203.29	$1,203.29	$7,229.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,855.86 / $4,096.85 / $4,895.62	Facility		$3,855.86	$4,096.85	$4,895.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $6,252.40 / $7,389.20	Professional		$5,684.00	$6,252.40	$7,389.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,855.86 / $4,096.85 / $4,937.27	Facility		$3,855.86	$4,096.85	$4,937.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,203.29 / $1,203.29 / $7,229.73	Professional		$1,203.29	$1,203.29	$7,229.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $21,887.34	Professional		$4,819.82	$4,819.82	$21,887.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,831.39 / $6,113.17 / $8,833.53	Professional		$4,831.39	$6,113.17	$8,833.53
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $5,855.09 / $6,763.96	Professional		$5,684.00	$5,855.09	$6,763.96