Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $373.66 / $14,482.00	Facility		$91.45	$373.66	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.73 / $45.73 / $186.83	Facility	52	$45.73	$45.73	$186.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $360.77 / $462.63	Professional		$91.45	$360.77	$462.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $549.36 / $1,945.38	Professional		$205.50	$549.36	$1,945.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.44 / $1,358.41 / $2,191.07	Facility		$1,162.44	$1,358.41	$2,191.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $502.33 / $1,510.40	Professional		$202.00	$502.33	$1,510.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $230.39 / $658.43	Facility		$98.06	$230.39	$658.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $658.43 / $4,195.00	Facility		$107.87	$658.43	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $503.70 / $1,374.80 / $1,995.70	Professional		$503.70	$1,374.80	$1,995.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $396.24 / $949.72	Professional		$85.00	$396.24	$949.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $230.39 / $658.43	Facility		$98.06	$230.39	$658.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.02 / $463.98 / $1,424.04	Professional		$245.02	$463.98	$1,424.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,003.12 / $1,003.12 / $1,003.12	Facility		$1,003.12	$1,003.12	$1,003.12
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $388.74 / $388.74 / $388.74	Facility	52	$388.74	$388.74	$388.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.22 / $1,059.08 / $3,161.68	Professional		$207.22	$1,059.08	$3,161.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $789.96 / $1,611.90	Professional		$399.28	$789.96	$1,611.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.71 / $1,382.73 / $1,889.83	Professional		$527.71	$1,382.73	$1,889.83