Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.57 / $3,444.43 / $10,062.44	Facility		$537.57	$3,444.43	$10,062.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.50 / $1,250.00 / $5,248.75	Professional		$321.50	$1,250.00	$5,248.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.38 / $1,159.22 / $4,054.10	Professional		$351.38	$1,159.22	$4,054.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $527.07 / $1,738.83 / $6,450.52	Professional	50	$527.07	$1,738.83	$6,450.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,591.62 / $3,028.51 / $4,884.89	Facility		$2,591.62	$3,028.51	$4,884.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.18 / $1,538.59 / $3,604.80	Professional		$492.18	$1,538.59	$3,604.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.70 / $575.72 / $1,846.76	Facility		$286.70	$575.72	$1,846.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.89 / $2,461.69 / $11,598.00	Facility		$369.89	$2,461.69	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,270.50 / $3,895.61 / $9,157.00	Professional		$1,270.50	$3,895.61	$9,157.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $529.97 / $965.92 / $2,253.59	Professional		$529.97	$965.92	$2,253.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.70 / $575.72 / $1,846.76	Facility		$286.70	$575.72	$1,846.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $629.86 / $1,175.36 / $3,203.53	Professional		$629.86	$1,175.36	$3,203.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,885.08 / $1,885.08 / $1,885.08	Facility		$1,885.08	$1,885.08	$1,885.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.67 / $4,083.44 / $11,167.89	Professional		$503.67	$4,083.44	$11,167.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.15 / $1,813.45 / $6,730.35	Professional		$1,371.15	$1,813.45	$6,730.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,158.00 / $12,062.00	Facility		$4,017.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.89 / $3,415.93 / $5,237.07	Professional		$1,127.89	$3,415.93	$5,237.07