Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $1,696.16 / $4,514.06	Facility		$142.75	$1,696.16	$4,514.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,197.42 / $2,284.17	Professional		$111.92	$1,197.42	$2,284.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $1,498.43 / $6,820.93	Professional		$200.27	$1,498.43	$6,820.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $319.58 / $2,247.64 / $10,393.39	Professional	50	$319.58	$2,247.64	$10,393.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,495.44 / $4,084.70 / $6,588.48	Facility		$3,495.44	$4,084.70	$6,588.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $463.27 / $5,047.52	Professional		$218.90	$463.27	$5,047.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.52 / $247.76 / $2,420.26	Facility		$123.52	$247.76	$2,420.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.75 / $2,586.00 / $6,150.00	Facility		$131.75	$2,586.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,757.89 / $4,581.68 / $8,637.40	Professional		$1,757.89	$4,581.68	$8,637.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,136.97 / $2,861.63	Professional		$85.00	$1,136.97	$2,861.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.52 / $247.76 / $2,420.26	Facility		$123.52	$247.76	$2,420.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $1,315.78 / $4,154.02	Professional		$272.58	$1,315.78	$4,154.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $535.91 / $535.91	Facility		$535.91	$535.91	$535.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.21 / $4,581.68 / $9,379.36	Professional		$216.21	$4,581.68	$9,379.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $778.43 / $6,702.05 / $8,984.29	Professional		$778.43	$6,702.05	$8,984.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,686.91 / $4,764.53 / $7,497.29	Professional		$1,686.91	$4,764.53	$7,497.29