Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.50 / $1,646.19 / $5,279.04	Facility		$209.50	$1,646.19	$5,279.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $625.32 / $1,368.10	Professional		$157.86	$625.32	$1,368.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $876.25 / $1,144.56 / $1,287.27	Professional	50	$876.25	$1,144.56	$1,287.27
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 $307.27 / $1,038.93 / $4,180.57	Professional		$307.27	$1,038.93	$4,180.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $469.03 / $1,558.39 / $6,305.16	Professional	50	$469.03	$1,558.39	$6,305.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,223.06 / $2,597.83 / $4,190.20	Facility		$2,223.06	$2,597.83	$4,190.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $680.04 / $2,916.96	Professional		$322.91	$680.04	$2,916.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.36 / $403.49 / $1,408.23	Facility		$194.36	$403.49	$1,408.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.37 / $1,100.00 / $1,789.00	Facility		$210.37	$1,100.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $827.96 / $2,732.78 / $5,026.63	Professional		$827.96	$2,732.78	$5,026.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $787.76 / $2,093.50	Professional		$85.00	$787.76	$2,093.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.36 / $403.49 / $1,408.23	Facility		$194.36	$403.49	$1,408.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $395.78 / $858.60 / $2,710.68	Professional		$395.78	$858.60	$2,710.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,475.05 / $1,475.05 / $1,475.05	Facility		$1,475.05	$1,475.05	$1,475.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.31 / $3,076.29 / $6,036.72	Professional		$309.31	$3,076.29	$6,036.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,147.06 / $5,752.12	Professional		$866.94	$1,147.06	$5,752.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $826.98 / $2,583.14 / $4,033.13	Professional		$826.98	$2,583.14	$4,033.13