Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.63 / $3,320.35 / $10,434.85	Facility		$214.63	$3,320.35	$10,434.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.96 / $7,273.64 / $7,273.64	Facility	50	$0.96	$7,273.64	$7,273.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $798.03 / $4,647.96	Professional		$189.24	$798.03	$4,647.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $182.70 / $934.25 / $1,401.37	Professional	50	$182.70	$934.25	$1,401.37
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 $335.36 / $1,938.95 / $9,441.79	Professional		$335.36	$1,938.95	$9,441.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $503.04 / $2,908.42 / $14,162.68	Professional	50	$503.04	$2,908.42	$14,162.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,585.80 / $5,358.87 / $8,643.67	Facility		$4,585.80	$5,358.87	$8,643.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $884.29 / $6,243.53	Professional		$324.52	$884.29	$6,243.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $203.95 / $363.44 / $2,736.23	Facility		$203.95	$363.44	$2,736.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.69 / $2,714.53 / $12,216.00	Facility		$207.69	$2,714.53	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,315.06 / $6,605.22 / $11,818.32	Professional		$2,315.06	$6,605.22	$11,818.32
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 $203.95 / $363.44 / $2,736.23	Facility		$203.95	$363.44	$2,736.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $412.95 / $1,547.62 / $5,656.12	Professional		$412.95	$1,547.62	$5,656.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,250.94 / $1,250.94 / $1,250.94	Facility		$1,250.94	$1,250.94	$1,250.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.89 / $3,178.70 / $18,915.68	Professional		$246.89	$3,178.70	$18,915.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $972.43 / $1,073.72 / $10,162.17	Professional		$972.43	$1,073.72	$10,162.17
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 $2,135.21 / $6,342.97 / $8,459.04	Professional		$2,135.21	$6,342.97	$8,459.04