Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.75 / $1,829.05 / $4,733.43	Facility		$183.75	$1,829.05	$4,733.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,248.96 / $2,441.60	Professional		$142.43	$1,248.96	$2,441.60
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 $257.80 / $1,573.49 / $7,534.29	Professional		$257.80	$1,573.49	$7,534.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $411.39 / $2,360.23 / $11,301.43	Professional	50	$411.39	$2,360.23	$11,301.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,681.98 / $4,302.68 / $6,940.07	Facility		$3,681.98	$4,302.68	$6,940.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $585.57 / $5,287.10	Professional		$276.68	$585.57	$5,287.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $315.35 / $2,537.88	Facility		$156.47	$315.35	$2,537.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.90 / $2,701.11 / $6,150.00	Facility		$166.90	$2,701.11	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,872.68 / $4,827.16 / $9,046.91	Professional		$1,872.68	$4,827.16	$9,046.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,228.48 / $3,136.12	Professional		$85.00	$1,228.48	$3,136.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $315.35 / $2,537.88	Facility		$156.47	$315.35	$2,537.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $1,380.89 / $4,359.57	Professional		$344.19	$1,380.89	$4,359.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $676.68 / $676.68 / $676.68	Facility		$676.68	$676.68	$676.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.54 / $4,827.16 / $9,900.71	Professional		$275.54	$4,827.16	$9,900.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $992.11 / $6,998.17 / $9,474.39	Professional		$992.11	$6,998.17	$9,474.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,665.74 / $4,981.22 / $8,319.18	Professional		$1,665.74	$4,981.22	$8,319.18