Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.14 / $1,557.83 / $14,482.00	Facility		$292.14	$1,557.83	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $146.08 / $419.73 / $2,120.33	Facility	52	$146.08	$419.73	$2,120.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $423.03 / $1,785.31	Professional		$207.00	$423.03	$1,785.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $124.16 / $445.90 / $815.14	Professional	52	$124.16	$445.90	$815.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.87 / $1,487.39 / $6,090.85	Professional		$409.87	$1,487.39	$6,090.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,224.21 / $3,767.74 / $6,077.23	Facility		$3,224.21	$3,767.74	$6,077.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.27 / $1,068.26 / $4,442.03	Professional		$445.27	$1,068.26	$4,442.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.21 / $495.94 / $2,273.67	Facility		$251.21	$495.94	$2,273.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.95 / $5,356.00 / $16,779.00	Facility		$267.95	$5,356.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,458.64 / $3,934.19 / $6,777.57	Professional		$1,458.64	$3,934.19	$6,777.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,103.95 / $2,811.23	Professional		$85.00	$1,103.95	$2,811.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $251.21 / $495.94 / $2,273.67	Facility		$251.21	$495.94	$2,273.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $539.77 / $1,237.73 / $3,907.60	Professional		$539.77	$1,237.73	$3,907.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,117.46 / $2,117.46 / $2,117.46	Facility		$2,117.46	$2,117.46	$2,117.46
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $848.95 / $848.95 / $848.95	Facility	52	$848.95	$848.95	$848.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $442.04 / $4,312.66 / $8,740.16	Professional		$442.04	$4,312.66	$8,740.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.54 / $5,102.01 / $8,334.87	Professional		$1,591.54	$5,102.01	$8,334.87
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.64 / $3,934.19 / $5,918.27	Professional		$1,458.64	$3,934.19	$5,918.27