Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $619.09 / $6,185.28	Facility		$251.30	$619.09	$6,185.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,810.72 / $13,810.72 / $13,810.72	Facility	50	$13,810.72	$13,810.72	$13,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $310.55 / $1,070.70	Professional		$199.38	$310.55	$1,070.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,267.53 / $4,462.50 / $4,462.50	Professional	50	$3,267.53	$4,462.50	$4,462.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $631.09 / $1,601.79	Professional		$293.45	$631.09	$1,601.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $445.86 / $1,016.79 / $2,402.67	Professional	50	$445.86	$1,016.79	$2,402.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.81 / $949.83 / $1,532.05	Facility		$812.81	$949.83	$1,532.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.17 / $682.31 / $1,206.07	Professional		$388.17	$682.31	$1,206.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.12 / $326.05 / $591.57	Facility		$198.12	$326.05	$591.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $478.97 / $6,150.00	Facility		$216.13	$478.97	$6,150.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,177.37 / $7,177.37 / $7,177.37	Facility	50	$7,177.37	$7,177.37	$7,177.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.32 / $975.25 / $1,755.71	Professional		$357.32	$975.25	$1,755.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $223.36 / $658.20	Professional		$29.98	$223.36	$658.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.12 / $326.05 / $591.57	Facility		$198.12	$326.05	$591.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $465.61 / $699.95 / $1,041.34	Professional		$465.61	$699.95	$1,041.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $1,419.00 / $1,419.00	Facility		$1,419.00	$1,419.00	$1,419.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $382.48 / $1,297.13 / $2,279.67	Professional		$382.48	$1,297.13	$2,279.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.95 / $1,377.11 / $2,137.89	Professional		$1,017.95	$1,377.11	$2,137.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.82 / $925.08 / $1,445.14	Professional		$341.82	$925.08	$1,445.14