Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.91 / $2,088.54 / $6,461.00	Facility		$188.91	$2,088.54	$6,461.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,897.28 / $11,897.28 / $11,897.28	Facility	50	$11,897.28	$11,897.28	$11,897.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $1,722.03 / $2,941.01	Professional		$158.83	$1,722.03	$2,941.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.09 / $1,734.00 / $7,909.70	Professional	50	$126.09	$1,734.00	$7,909.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $11,783.00 / $19,639.00	Facility		$8,139.00	$11,783.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.17 / $1,914.26 / $9,321.53	Professional		$295.17	$1,914.26	$9,321.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $442.75 / $2,871.39 / $13,982.29	Professional	50	$442.75	$2,871.39	$13,982.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,521.82 / $5,284.10 / $8,523.07	Facility		$4,521.82	$5,284.10	$8,523.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $810.00 / $5,829.96	Professional		$290.50	$810.00	$5,829.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $178.62 / $319.76 / $2,697.78	Facility		$178.62	$319.76	$2,697.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.52 / $2,679.96 / $12,216.00	Facility		$182.52	$2,679.96	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,106.17 / $6,092.23 / $11,379.54	Professional		$2,106.17	$6,092.23	$11,379.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,555.86 / $4,071.02	Professional		$85.00	$1,555.86	$4,071.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $178.62 / $319.76 / $2,697.78	Facility		$178.62	$319.76	$2,697.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $1,522.07 / $5,562.72	Professional		$361.80	$1,522.07	$5,562.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $1,101.00 / $1,101.00	Facility		$1,101.00	$1,101.00	$1,101.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $3,131.85 / $12,112.80	Professional		$217.21	$3,131.85	$12,112.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $710.55 / $932.10 / $10,012.41	Professional		$710.55	$932.10	$10,012.41
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,050.92 / $4,718.30 / $8,181.40	Professional		$2,050.92	$4,718.30	$8,181.40