Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $2,481.57 / $14,482.00	Facility		$263.05	$2,481.57	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $131.53 / $397.17 / $2,211.36	Facility	52	$131.53	$397.17	$2,211.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $867.86 / $2,499.00	Professional		$213.70	$867.86	$2,499.00
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 $411.01 / $1,400.33 / $5,746.34	Professional		$411.01	$1,400.33	$5,746.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,390.01 / $3,961.50 / $6,389.76	Facility		$3,390.01	$3,961.50	$6,389.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.18 / $972.00 / $4,391.24	Professional		$396.18	$972.00	$4,391.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.47 / $450.09 / $1,986.56	Facility		$241.47	$450.09	$1,986.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.56 / $1,837.08 / $8,783.00	Facility		$253.56	$1,837.08	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,102.92 / $3,133.81 / $4,782.93	Professional		$1,102.92	$3,133.81	$4,782.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,157.19 / $2,775.73	Professional		$85.00	$1,157.19	$2,775.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.47 / $450.09 / $1,986.56	Facility		$241.47	$450.09	$1,986.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $494.62 / $1,155.22 / $4,014.52	Professional		$494.62	$1,155.22	$4,014.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,179.96 / $2,179.96 / $2,179.96	Facility		$2,179.96	$2,179.96	$2,179.96
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $784.78 / $784.78 / $784.78	Facility	52	$784.78	$784.78	$784.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $2,358.98 / $9,152.87	Professional		$302.62	$2,358.98	$9,152.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.64 / $1,746.80 / $7,541.56	Professional		$1,298.64	$1,746.80	$7,541.56
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 $1,102.92 / $2,956.44 / $4,689.32	Professional		$1,102.92	$2,956.44	$4,689.32