Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $1,841.92 / $14,482.00	Facility		$106.14	$1,841.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $440.56 / $2,157.34	Professional		$90.05	$440.56	$2,157.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $1,105.61 / $4,966.88	Professional		$134.65	$1,105.61	$4,966.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $201.98 / $1,658.43 / $7,596.87	Professional	50	$201.98	$1,658.43	$7,596.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.66 / $2,974.81 / $3,953.77	Facility		$2,545.66	$2,974.81	$3,953.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $386.53 / $3,319.23	Professional		$133.01	$386.53	$3,319.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $827.10 / $1,798.71	Facility		$96.67	$827.10	$1,798.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $982.36 / $1,874.86	Facility		$96.67	$982.36	$1,874.86
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $246.93 / $246.93 / $246.93	Facility	62	$246.93	$246.93	$246.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,475.62 / $3,457.19 / $6,834.64	Professional		$1,475.62	$3,457.19	$6,834.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $482.44 / $978.67 / $2,065.00	Professional		$482.44	$978.67	$2,065.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $827.10 / $1,850.03	Facility		$97.24	$827.10	$1,850.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $956.80 / $3,020.70	Professional		$199.06	$956.80	$3,020.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $214.35 / $1,627.60 / $1,627.60	Facility		$214.35	$1,627.60	$1,627.60
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $133.97 / $246.93 / $246.93	Facility	62	$133.97	$246.93	$246.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $3,457.19 / $6,834.64	Professional		$176.27	$3,457.19	$6,834.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $449.49 / $5,386.23 / $6,823.54	Professional		$449.49	$5,386.23	$6,823.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.14 / $2,708.91 / $5,051.14	Professional		$1,307.14	$2,708.91	$5,051.14