Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.98 / $825.51 / $3,119.00	Facility		$178.98	$825.51	$3,119.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.49 / $268.77 / $1,183.63	Facility	52	$89.49	$268.77	$1,183.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $570.86 / $1,657.50	Professional		$138.66	$570.86	$1,657.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $873.40 / $3,055.68	Professional		$279.64	$873.40	$3,055.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,782.42 / $2,082.89 / $3,359.63	Facility		$1,782.42	$2,082.89	$3,359.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.75 / $601.29 / $2,317.16	Professional		$274.75	$601.29	$2,317.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $309.29 / $1,051.85	Facility		$164.86	$309.29	$1,051.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.58 / $979.14 / $4,195.00	Facility		$171.58	$979.14	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $726.73 / $2,072.42 / $3,017.10	Professional		$726.73	$2,072.42	$3,017.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $627.52 / $1,625.48	Professional		$85.00	$627.52	$1,625.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $309.29 / $1,051.85	Facility		$164.86	$309.29	$1,051.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $334.33 / $632.29 / $2,149.46	Professional		$334.33	$632.29	$2,149.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,170.03 / $1,170.03 / $1,170.03	Facility		$1,170.03	$1,170.03	$1,170.03
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $530.45 / $530.45 / $530.45	Facility	52	$530.45	$530.45	$530.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $1,393.29 / $4,841.12	Professional		$260.70	$1,393.29	$4,841.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $826.06 / $1,080.82 / $3,979.50	Professional		$826.06	$1,080.82	$3,979.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.53 / $1,947.50 / $2,739.76	Professional		$700.53	$1,947.50	$2,739.76