Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.67 / $1,296.82 / $6,461.00	Facility		$323.67	$1,296.82	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.26 / $527.10 / $2,278.00	Professional		$300.26	$527.10	$2,278.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $507.88 / $2,566.19 / $6,656.65	Professional	50	$507.88	$2,566.19	$6,656.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $145.43 / $224.93 / $698.75	Professional	52	$145.43	$224.93	$698.75
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 $454.10 / $903.94 / $2,606.69	Professional		$454.10	$903.94	$2,606.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $661.64 / $1,369.99 / $4,025.05	Professional	50	$661.64	$1,369.99	$4,025.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,077.74 / $1,259.42 / $2,031.41	Facility		$1,077.74	$1,259.42	$2,031.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $896.58 / $1,675.06	Professional		$476.72	$896.58	$1,675.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $296.22 / $497.55 / $862.65	Facility		$296.22	$497.55	$862.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.45 / $1,282.32 / $11,598.00	Facility		$365.45	$1,282.32	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.47 / $1,470.15 / $3,589.98	Professional		$513.47	$1,470.15	$3,589.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $346.23 / $889.67	Professional		$33.89	$346.23	$889.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $296.22 / $497.55 / $862.65	Facility		$296.22	$497.55	$862.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $941.11 / $1,453.05	Professional		$607.59	$941.11	$1,453.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,228.56 / $1,228.56 / $1,228.56	Facility		$1,228.56	$1,228.56	$1,228.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $491.04 / $1,727.78 / $3,589.98	Professional		$491.04	$1,727.78	$3,589.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.98 / $2,404.50 / $3,192.31	Professional		$1,767.98	$2,404.50	$3,192.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $1,496.71 / $2,477.94	Professional		$504.31	$1,496.71	$2,477.94