Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $539.99 / $8,077.22	Facility		$178.16	$539.99	$8,077.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,402.64 / $6,402.64 / $6,402.64	Facility	50	$6,402.64	$6,402.64	$6,402.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.21 / $302.99 / $553.14	Professional		$153.21	$302.99	$553.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,666.03 / $1,666.03 / $4,258.80	Professional	50	$1,666.03	$1,666.03	$4,258.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.03 / $562.40 / $1,387.73	Professional		$252.03	$562.40	$1,387.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $387.81 / $860.13 / $2,204.59	Professional	50	$387.81	$860.13	$2,204.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.36 / $901.39 / $1,453.92	Facility		$771.36	$901.39	$1,453.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.21 / $513.54 / $1,011.69	Professional		$242.21	$513.54	$1,011.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.83 / $289.52 / $447.03	Facility		$168.83	$289.52	$447.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.36 / $422.66 / $5,801.00	Facility		$172.36	$422.66	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.85 / $906.51 / $1,471.17	Professional		$307.85	$906.51	$1,471.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $296.29 / $631.07	Professional		$85.00	$296.29	$631.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.83 / $289.52 / $447.03	Facility		$168.83	$289.52	$447.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $341.20 / $577.99 / $1,012.05	Professional		$341.20	$577.99	$1,012.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,214.22 / $1,214.22 / $1,214.22	Facility		$1,214.22	$1,214.22	$1,214.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $708.80 / $2,133.60	Professional		$205.54	$708.80	$2,133.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $587.79 / $881.99 / $1,737.52	Professional		$587.79	$881.99	$1,737.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,409.38 / $5,865.00	Facility		$2,976.00	$4,409.38	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $797.21 / $1,184.82	Professional		$293.20	$797.21	$1,184.82