Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.91 / $794.66 / $8,243.00	Facility		$290.91	$794.66	$8,243.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.96 / $90.36 / $8,243.00	Facility	50	$0.96	$90.36	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $355.76 / $899.37	Professional		$249.37	$355.76	$899.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.32 / $603.65 / $1,849.31	Professional	50	$171.32	$603.65	$1,849.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.09 / $845.92 / $2,012.94	Professional		$384.09	$845.92	$2,012.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $599.23 / $1,275.79 / $3,019.41	Professional	50	$599.23	$1,275.79	$3,019.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,163.34 / $1,359.46 / $2,192.76	Facility		$1,163.34	$1,359.46	$2,192.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.81 / $835.29 / $1,532.65	Professional		$395.81	$835.29	$1,532.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.89 / $480.76 / $897.07	Facility		$275.89	$480.76	$897.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.91 / $804.05 / $8,384.00	Facility		$290.91	$804.05	$8,384.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,744.77 / $1,744.77 / $1,744.77	Facility	50	$1,744.77	$1,744.77	$1,744.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.79 / $1,306.21 / $4,389.00	Professional		$390.79	$1,306.21	$4,389.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $474.32 / $987.19	Professional		$85.00	$474.32	$987.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $275.89 / $480.76 / $897.07	Facility		$275.89	$480.76	$897.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $555.25 / $950.10 / $1,551.18	Professional		$555.25	$950.10	$1,551.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,694.76 / $1,694.76 / $1,694.76	Facility		$1,694.76	$1,694.76	$1,694.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $334.29 / $1,852.52 / $4,486.05	Professional		$334.29	$1,852.52	$4,486.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $912.66 / $1,434.55 / $2,632.18	Professional		$912.66	$1,434.55	$2,632.18
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 $395.67 / $1,214.83 / $1,812.05	Professional		$395.67	$1,214.83	$1,812.05