Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $3,932.03 / $10,937.70	Facility		$305.82	$3,932.03	$10,937.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $1,330.21 / $4,066.40	Professional		$230.93	$1,330.21	$4,066.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $9,538.00 / $9,538.00 / $9,538.00	Professional	50	$9,538.00	$9,538.00	$9,538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.85 / $3,669.82 / $17,632.20	Professional		$477.85	$3,669.82	$17,632.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $716.77 / $5,504.73 / $26,805.45	Professional	50	$716.77	$5,504.73	$26,805.45
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $66.89 / $513.77 / $2,501.84	Professional	AS	$66.89	$513.77	$2,501.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,507.46 / $9,941.66 / $16,035.54	Facility		$8,507.46	$9,941.66	$16,035.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.67 / $1,037.96 / $11,102.72	Professional		$415.67	$1,037.96	$11,102.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $291.67 / $518.84 / $5,137.75	Facility		$291.67	$518.84	$5,137.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $4,634.74 / $12,631.00	Facility		$294.14	$4,634.74	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,016.03 / $11,142.77 / $21,907.06	Professional		$4,016.03	$11,142.77	$21,907.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,923.31 / $7,113.03	Professional		$85.00	$2,923.31	$7,113.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.67 / $518.84 / $5,137.75	Facility		$291.67	$518.84	$5,137.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $583.16 / $2,857.48 / $10,443.26	Professional		$583.16	$2,857.48	$10,443.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,782.66 / $1,782.66 / $1,782.66	Facility		$1,782.66	$1,782.66	$1,782.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $351.27 / $5,890.23 / $22,772.24	Professional		$351.27	$5,890.23	$22,772.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.35 / $8,165.19 / $18,830.83	Professional		$1,507.35	$8,165.19	$18,830.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,953.00 / $12,631.00	Facility		$6,073.00	$9,953.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,856.36 / $11,383.23 / $15,606.65	Professional		$3,856.36	$11,383.23	$15,606.65