Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.36 / $395.91 / $1,894.00	Facility		$91.36	$395.91	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $223.37 / $857.00	Professional		$76.48	$223.37	$857.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $286.19 / $801.00	Professional	50	$55.99	$286.19	$801.00
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 $110.63 / $215.61 / $453.29	Professional		$110.63	$215.61	$453.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.94 / $323.41 / $679.93	Professional	50	$165.94	$323.41	$679.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.02 / $766.61 / $1,236.51	Facility		$656.02	$766.61	$1,236.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $328.06 / $856.18	Professional		$136.97	$328.06	$856.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $157.50 / $460.40	Facility		$77.84	$157.50	$460.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $329.60 / $1,778.00	Facility		$85.09	$329.60	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.91 / $748.98 / $1,554.11	Professional		$234.91	$748.98	$1,554.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $252.61 / $588.73	Professional		$85.00	$252.61	$588.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $149.08 / $460.40	Facility		$77.84	$149.08	$460.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $311.77 / $822.28	Professional		$177.09	$311.77	$822.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $534.84 / $534.84 / $534.84	Facility		$534.84	$534.84	$534.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $926.69 / $1,799.04	Professional		$114.82	$926.69	$1,799.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $447.92 / $1,470.43	Professional		$232.11	$447.92	$1,470.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $240.15 / $737.25 / $1,174.73	Professional		$240.15	$737.25	$1,174.73