Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.22 / $765.18 / $14,482.00	Facility		$224.22	$765.18	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.11 / $323.14 / $1,049.94	Facility	52	$112.11	$323.14	$1,049.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $419.61 / $919.81	Professional		$171.50	$419.61	$919.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.48 / $209.81 / $479.45	Professional	52	$95.48	$209.81	$479.45
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 $325.70 / $885.10 / $2,998.56	Professional		$325.70	$885.10	$2,998.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.66 / $1,845.96 / $2,977.47	Facility		$1,579.66	$1,845.96	$2,977.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.25 / $872.23 / $2,152.26	Professional		$364.25	$872.23	$2,152.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.29 / $373.70 / $1,125.86	Facility		$177.29	$373.70	$1,125.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $1,125.86 / $11,598.00	Facility		$196.09	$1,125.86	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $709.44 / $2,020.41 / $3,602.28	Professional		$709.44	$2,020.41	$3,602.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $606.79 / $1,439.48	Professional		$85.00	$606.79	$1,439.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $177.29 / $373.70 / $1,125.86	Facility		$177.29	$373.70	$1,125.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $800.21 / $1,933.93	Professional		$409.64	$800.21	$1,933.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,050.86 / $1,050.86 / $1,050.86	Facility		$1,050.86	$1,050.86	$1,050.86
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $644.26 / $644.26 / $644.26	Facility	52	$644.26	$644.26	$644.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.71 / $2,489.54 / $5,058.78	Professional		$339.71	$2,489.54	$5,058.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $926.81 / $1,223.06 / $4,103.27	Professional		$926.81	$1,223.06	$4,103.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.44 / $1,971.48 / $3,126.79	Professional		$709.44	$1,971.48	$3,126.79