Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $1,894.00 / $5,535.84	Facility		$267.20	$1,894.00	$5,535.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,384.75 / $11,384.75 / $11,384.75	Facility	50	$11,384.75	$11,384.75	$11,384.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $323.00 / $1,452.56	Professional		$118.76	$323.00	$1,452.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $342.80 / $853.57	Professional		$128.86	$342.80	$853.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $202.13 / $202.13	Facility		$130.63	$202.13	$202.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $202.13 / $312.44	Professional		$126.57	$202.13	$312.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.32 / $390.67 / $630.14	Facility		$334.32	$390.67	$630.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.64 / $402.41 / $534.01	Professional		$244.64	$402.41	$534.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.66 / $152.01 / $255.33	Facility		$123.66	$152.01	$255.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.66 / $1,209.00 / $2,931.50	Facility		$123.66	$1,209.00	$2,931.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $299.12 / $716.36	Professional		$154.86	$299.12	$716.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $174.54 / $411.00	Professional		$85.00	$174.54	$411.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.66 / $152.01 / $255.33	Facility		$123.66	$152.01	$255.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $411.00 / $570.26	Professional		$267.14	$411.00	$570.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $622.16 / $622.16 / $622.16	Facility		$622.16	$622.16	$622.16
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $62.22 / $62.22 / $62.22	Facility	AS	$62.22	$62.22	$62.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.45 / $645.25 / $987.52	Professional		$250.45	$645.25	$987.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $541.66 / $712.66 / $712.66	Professional		$541.66	$712.66	$712.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $357.13 / $565.55	Professional		$153.10	$357.13	$565.55