Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Facility		$1,663.50	$1,663.50	$1,663.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,663.50	Professional		$1,663.50	$1,663.50	$1,663.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,316.00 / $3,473.99 / $3,627.23	Professional		$2,316.00	$3,473.99	$3,627.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,407.69 / $10,690.56 / $16,864.52	Facility		$9,407.69	$10,690.56	$16,864.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,915.00 / $4,032.45 / $4,893.75	Professional		$3,915.00	$4,032.45	$4,893.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $266.16 / $1,663.50 / $2,994.30	Facility		$266.16	$1,663.50	$2,994.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,663.50 / $2,994.30	Facility		$80.00	$1,663.50	$2,994.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,330.80 / $1,565.64 / $4,425.89	Professional		$1,330.80	$1,565.64	$4,425.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $65.00	Professional		$50.00	$55.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $266.16 / $1,663.50 / $2,994.30	Facility		$266.16	$1,663.50	$2,994.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,325.08 / $5,088.33 / $5,088.33	Professional		$4,325.08	$5,088.33	$5,088.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.90 / $1,565.64 / $4,425.89	Professional		$1,219.90	$1,565.64	$4,425.89