Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $2,071.21 / $6,461.00	Facility		$172.00	$2,071.21	$6,461.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,438.32 / $3,438.32 / $3,438.32	Facility	50	$3,438.32	$3,438.32	$3,438.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $748.05 / $3,799.61	Professional		$155.49	$748.05	$3,799.61
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 $268.75 / $1,900.94 / $9,256.67	Professional		$268.75	$1,900.94	$9,256.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $403.12 / $2,851.41 / $13,885.00	Professional	50	$403.12	$2,851.41	$13,885.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.97 / $5,239.88 / $8,451.74	Facility		$4,483.97	$5,239.88	$8,451.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $591.32 / $6,132.08	Professional		$268.58	$591.32	$6,132.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $290.73 / $2,677.10	Facility		$163.41	$290.73	$2,677.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.18 / $2,661.32 / $8,783.00	Facility		$166.18	$2,661.32	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,274.44 / $6,467.89 / $11,703.13	Professional		$2,274.44	$6,467.89	$11,703.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,523.52 / $3,995.00	Professional		$85.00	$1,523.52	$3,995.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $290.73 / $2,677.10	Facility		$163.41	$290.73	$2,677.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.75 / $1,508.16 / $5,511.88	Professional		$329.75	$1,508.16	$5,511.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,837.33 / $2,837.33 / $2,837.33	Facility		$2,837.33	$2,837.33	$2,837.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $3,104.96 / $18,756.31	Professional		$198.13	$3,104.96	$18,756.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $800.77 / $939.51 / $9,926.41	Professional		$800.77	$939.51	$9,926.41
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 $2,089.26 / $5,996.18 / $8,283.17	Professional		$2,089.26	$5,996.18	$8,283.17