Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.40 / $3,119.00 / $18,651.08	Facility		$379.40	$3,119.00	$18,651.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,834.60 / $13,834.60 / $13,834.60	Facility	50	$13,834.60	$13,834.60	$13,834.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $1,486.06 / $2,639.57	Professional		$321.83	$1,486.06	$2,639.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $700.30 / $700.30 / $700.30	Professional	50	$700.30	$700.30	$700.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.86 / $1,896.65 / $7,287.09	Professional		$438.86	$1,896.65	$7,287.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $729.45 / $2,844.97 / $11,427.64	Professional	50	$729.45	$2,844.97	$11,427.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,234.35 / $4,948.18 / $6,576.55	Facility		$4,234.35	$4,948.18	$6,576.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.36 / $1,406.79 / $5,551.45	Professional		$483.36	$1,406.79	$5,551.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $1,429.10 / $2,850.19	Facility		$357.20	$1,429.10	$2,850.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.60 / $1,829.25 / $10,230.00	Facility		$357.60	$1,829.25	$10,230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,774.66 / $5,733.54 / $11,504.00	Professional		$1,774.66	$5,733.54	$11,504.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $905.41 / $1,505.21 / $3,882.35	Professional		$905.41	$1,505.21	$3,882.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $1,429.10 / $2,850.19	Facility		$357.20	$1,429.10	$2,850.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $745.74 / $1,690.59 / $5,337.32	Professional		$745.74	$1,690.59	$5,337.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $780.07 / $2,934.20 / $2,934.20	Facility		$780.07	$2,934.20	$2,934.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $642.22 / $5,970.49 / $11,504.00	Professional		$642.22	$5,970.49	$11,504.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.36 / $5,943.30 / $10,947.10	Professional		$1,510.36	$5,943.30	$10,947.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.84 / $4,370.31 / $6,581.02	Professional		$1,713.84	$4,370.31	$6,581.02