Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $484.90 / $17,762.00	Facility		$140.41	$484.90	$17,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,268.60 / $6,268.60 / $6,268.60	Facility	50	$6,268.60	$6,268.60	$6,268.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.24 / $897.15 / $2,613.75	Professional	50	$338.24	$897.15	$2,613.75
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 50 Low / Median / High Price $267.20 / $667.84 / $1,801.35	Professional	50	$267.20	$667.84	$1,801.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $149.34 / $183.89	Facility		$104.03	$149.34	$183.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $731.86 / $972.70	Facility		$626.28	$731.86	$972.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.81 / $254.96 / $483.56	Facility		$131.81	$254.96	$483.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $290.06 / $1,455.00	Facility		$132.41	$290.06	$1,455.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $654.23 / $654.23 / $654.23	Professional	50	$654.23	$654.23	$654.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.81 / $254.96 / $493.64	Facility		$131.81	$254.96	$493.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.36 / $473.20 / $826.72	Professional		$269.36	$473.20	$826.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $287.36 / $546.48 / $546.48	Facility		$287.36	$546.48	$546.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90