Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.19 / $1,052.08 / $1,052.08	Professional		$719.19	$1,052.08	$1,052.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.71 / $478.36 / $532.45	Professional		$456.71	$478.36	$532.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.61 / $1,056.61 / $1,056.61	Professional		$1,056.61	$1,056.61	$1,056.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,472.91	Facility		$687.10	$1,052.08	$1,472.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,578.12	Facility		$687.10	$1,052.08	$1,578.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,463.01 / $1,463.01 / $1,463.01	Professional		$1,463.01	$1,463.01	$1,463.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $2,492.14	Professional		$50.00	$58.40	$2,492.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,472.91	Facility		$687.10	$1,052.08	$1,472.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,056.61 / $1,463.01 / $1,463.01	Professional		$1,056.61	$1,463.01	$1,463.01