Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.72 / $4,469.34 / $11,976.20	Facility		$364.72	$4,469.34	$11,976.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $1,357.80 / $5,326.82	Professional		$296.93	$1,357.80	$5,326.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $866.57 / $2,253.28 / $2,253.28	Professional	50	$866.57	$2,253.28	$2,253.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.36 / $3,527.37 / $17,400.31	Professional		$544.36	$3,527.37	$17,400.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $816.54 / $5,291.05 / $26,371.18	Professional	50	$816.54	$5,291.05	$26,371.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,263.51 / $10,825.15 / $17,460.58	Facility		$9,263.51	$10,825.15	$17,460.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.22 / $1,178.33 / $12,074.93	Professional		$535.22	$1,178.33	$12,074.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $314.99 / $629.45 / $6,421.15	Facility		$314.99	$629.45	$6,421.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.99 / $6,738.56 / $19,754.00	Facility		$335.99	$6,738.56	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,824.61 / $11,805.59 / $19,839.50	Professional		$3,824.61	$11,805.59	$19,839.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $3,060.10 / $8,359.36	Professional		$85.00	$3,060.10	$8,359.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $314.99 / $629.45 / $6,421.15	Facility		$314.99	$629.45	$6,421.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.46 / $3,488.37 / $11,013.05	Professional		$691.46	$3,488.37	$11,013.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,926.73 / $5,926.73 / $5,926.73	Facility		$5,926.73	$5,926.73	$5,926.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $510.02 / $10,098.15 / $24,855.44	Professional		$510.02	$10,098.15	$24,855.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.26 / $17,367.38 / $23,810.94	Professional		$1,750.26	$17,367.38	$23,810.94
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,757.35 / $10,712.27 / $15,765.19	Professional		$3,757.35	$10,712.27	$15,765.19