Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $498.56 / $14,482.00	Facility		$58.07	$498.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $248.05 / $480.05	Professional		$49.38	$248.05	$480.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.31 / $372.08 / $372.08	Professional	50	$67.31	$372.08	$372.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $314.64 / $1,329.29	Professional		$67.17	$314.64	$1,329.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $111.82 / $471.96 / $1,993.93	Professional	50	$111.82	$471.96	$1,993.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.54 / $792.93 / $1,053.86	Facility		$678.54	$792.93	$1,053.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $224.09 / $888.83	Professional		$66.52	$224.09	$888.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.13 / $221.58 / $578.92	Facility		$54.13	$221.58	$578.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $316.70 / $1,449.00	Facility		$54.41	$316.70	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $935.52 / $2,278.06	Professional		$367.25	$935.52	$2,278.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $218.08 / $554.52	Professional		$130.84	$218.08	$554.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $221.58 / $578.92	Facility		$54.41	$221.58	$578.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $259.70 / $819.90	Professional		$106.78	$259.70	$819.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $445.00 / $8,734.00	Facility		$116.80	$445.00	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $935.52 / $2,278.06	Professional		$100.49	$935.52	$2,278.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $335.54 / $1,752.67	Professional		$239.37	$335.54	$1,752.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $331.16 / $632.19 / $1,281.02	Professional		$331.16	$632.19	$1,281.02