Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.36 / $577.48 / $4,981.13	Facility		$190.36	$577.48	$4,981.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $495.85 / $495.85 / $3,578.79	Facility	50	$495.85	$495.85	$3,578.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $190.36 / $879.75	Professional		$129.53	$190.36	$879.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.63 / $263.37 / $1,054.50	Professional	50	$87.63	$263.37	$1,054.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $420.63 / $910.63	Professional		$152.96	$420.63	$910.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.44 / $643.16 / $1,365.94	Professional	50	$229.44	$643.16	$1,365.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.21 / $477.02 / $769.42	Facility		$408.21	$477.02	$769.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.79 / $483.09 / $656.06	Professional		$227.79	$483.09	$656.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $232.27 / $972.41	Facility		$172.81	$232.27	$972.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.91 / $1,596.83 / $8,384.00	Facility		$175.91	$1,596.83	$8,384.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,241.84 / $1,241.84 / $1,241.84	Facility	50	$1,241.84	$1,241.84	$1,241.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $502.69 / $1,076.45	Professional		$180.73	$502.69	$1,076.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $216.30 / $402.72	Professional		$85.00	$216.30	$402.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $232.27 / $972.41	Facility		$172.81	$232.27	$972.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.35 / $480.77 / $618.41	Professional		$311.35	$480.77	$618.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,194.52 / $5,194.52 / $5,194.52	Facility		$5,194.52	$5,194.52	$5,194.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $758.45 / $2,496.46	Professional		$219.70	$758.45	$2,496.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $395.91 / $942.83 / $942.83	Professional		$395.91	$942.83	$942.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $461.75 / $678.05	Professional		$180.73	$461.75	$678.05