Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.88 / $1,288.78 / $9,245.00	Facility		$467.88	$1,288.78	$9,245.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,673.20 / $5,292.03 / $5,292.03	Facility	50	$2,673.20	$5,292.03	$5,292.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.88 / $561.58 / $1,896.45	Professional		$467.88	$561.58	$1,896.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $762.08 / $3,150.18 / $8,708.25	Professional	50	$762.08	$3,150.18	$8,708.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.32 / $1,340.59 / $2,639.15	Professional		$597.32	$1,340.59	$2,639.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $895.98 / $2,085.04 / $3,999.93	Professional	50	$895.98	$2,085.04	$3,999.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,673.38 / $1,955.48 / $2,999.75	Facility		$1,673.38	$1,955.48	$2,999.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.01 / $949.07 / $1,845.33	Professional		$550.01	$949.07	$1,845.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $529.77 / $836.00 / $1,709.34	Facility		$529.77	$836.00	$1,709.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.08 / $1,181.60 / $4,842.29	Facility		$543.08	$1,181.60	$4,842.29
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,439.60 / $4,800.87 / $5,752.71	Facility	50	$3,439.60	$4,800.87	$5,752.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.71 / $1,182.38 / $4,128.96	Professional		$602.71	$1,182.38	$4,128.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $351.92 / $1,099.16	Professional		$59.63	$351.92	$1,099.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $529.77 / $836.00 / $1,709.34	Facility		$529.77	$836.00	$1,709.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,084.54 / $1,529.20 / $2,044.90	Professional		$1,084.54	$1,529.20	$2,044.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,070.76 / $1,431.07 / $3,892.98	Facility		$1,070.76	$1,431.07	$3,892.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $649.41 / $2,659.35 / $4,664.16	Professional		$649.41	$2,659.35	$4,664.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.73 / $2,191.17 / $2,700.35	Professional		$1,108.73	$2,191.17	$2,700.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.21 / $1,193.88 / $2,508.64	Professional		$586.21	$1,193.88	$2,508.64