Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.29 / $1,047.73 / $14,482.00	Facility		$130.29	$1,047.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $454.27 / $909.61	Professional		$115.83	$454.27	$909.61
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 $164.18 / $661.24 / $2,609.71	Professional		$164.18	$661.24	$2,609.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $254.47 / $991.86 / $3,989.94	Professional	50	$254.47	$991.86	$3,989.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.29 / $1,679.58 / $2,232.30	Facility		$1,437.29	$1,679.58	$2,232.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $499.89 / $1,885.51	Professional		$162.66	$499.89	$1,885.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.15 / $284.37 / $949.92	Facility		$123.15	$284.37	$949.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $558.79 / $1,575.39	Facility		$130.24	$558.79	$1,575.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $1,983.37 / $4,525.52	Professional		$542.79	$1,983.37	$4,525.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $467.11 / $1,188.71	Professional		$280.12	$467.11	$1,188.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $284.37 / $949.92	Facility		$127.26	$284.37	$949.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $546.74 / $1,726.11	Professional		$241.01	$546.74	$1,726.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $262.12 / $939.81 / $8,734.00	Facility		$262.12	$939.81	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.90 / $1,995.45 / $4,525.52	Professional		$245.90	$1,995.45	$4,525.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $502.35 / $710.34 / $3,718.12	Professional		$502.35	$710.34	$3,718.12
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 $542.79 / $1,481.25 / $2,300.21	Professional		$542.79	$1,481.25	$2,300.21