Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.57 / $1,723.80 / $3,319.76	Facility		$178.57	$1,723.80	$3,319.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.58 / $870.17 / $1,393.37	Professional		$153.58	$870.17	$1,393.37
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 $279.02 / $1,030.59 / $5,069.68	Professional		$279.02	$1,030.59	$5,069.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $418.53 / $1,545.90 / $7,604.52	Professional	50	$418.53	$1,545.90	$7,604.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,559.17 / $2,990.61 / $4,823.74	Facility		$2,559.17	$2,990.61	$4,823.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $737.77 / $3,308.23	Professional		$270.16	$737.77	$3,308.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.19 / $299.16 / $1,519.31	Facility		$169.19	$299.16	$1,519.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.90 / $1,393.37 / $5,801.00	Facility		$172.90	$1,393.37	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.08 / $3,361.54 / $5,733.30	Professional		$1,108.08	$3,361.54	$5,733.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $860.41 / $2,065.00	Professional		$85.00	$860.41	$2,065.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.19 / $299.16 / $1,519.31	Facility		$169.19	$299.16	$1,519.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $342.72 / $869.24 / $3,176.84	Professional		$342.72	$869.24	$3,176.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,504.42 / $1,504.42 / $1,504.42	Facility		$1,504.42	$1,504.42	$1,504.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $1,777.17 / $6,888.32	Professional		$206.18	$1,777.17	$6,888.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $884.78 / $2,546.94 / $5,681.52	Professional		$884.78	$2,546.94	$5,681.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.97 / $3,086.89 / $4,355.39	Professional		$998.97	$3,086.89	$4,355.39