Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.95 / $655.11 / $3,450.20	Facility		$215.95	$655.11	$3,450.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.53 / $413.11 / $798.31	Professional		$185.53	$413.11	$798.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.42 / $864.18 / $2,616.54	Professional		$337.42	$864.18	$2,616.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $506.13 / $1,296.27 / $4,156.72	Professional	50	$506.13	$1,296.27	$4,156.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,416.56 / $1,655.36 / $2,670.04	Facility		$1,416.56	$1,655.36	$2,670.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $698.66 / $1,845.90	Professional		$293.55	$698.66	$1,845.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.79 / $363.38 / $830.79	Facility		$204.79	$363.38	$830.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $774.44 / $8,783.00	Facility		$209.11	$774.44	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $545.01 / $1,715.30 / $2,769.73	Professional		$545.01	$1,715.30	$2,769.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $558.17 / $1,185.59	Professional		$85.00	$558.17	$1,185.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $204.79 / $363.38 / $830.79	Facility		$204.79	$363.38	$830.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $414.47 / $743.37 / $1,808.92	Professional		$414.47	$743.37	$1,808.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,470.56 / $1,470.56 / $1,470.56	Facility		$1,470.56	$1,470.56	$1,470.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.91 / $991.62 / $3,869.76	Professional		$248.91	$991.62	$3,869.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.15 / $1,231.40 / $3,170.18	Professional		$1,068.15	$1,231.40	$3,170.18
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 $552.26 / $1,494.76 / $2,241.92	Professional		$552.26	$1,494.76	$2,241.92