Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $537.46 / $14,482.00	Facility		$94.82	$537.46	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.41 / $148.55 / $478.93	Facility	52	$47.41	$148.55	$478.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.96 / $59.42 / $191.57	Facility	53	$18.96	$59.42	$191.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $204.88 / $370.35	Professional		$85.30	$204.88	$370.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $380.68 / $1,265.60	Professional		$125.62	$380.68	$1,265.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.79 / $832.95 / $1,277.76	Facility		$712.79	$832.95	$1,277.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $355.90 / $1,095.78	Professional		$140.59	$355.90	$1,095.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $238.87 / $452.50	Facility		$90.93	$238.87	$452.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.73 / $252.53 / $2,586.00	Facility		$91.73	$252.53	$2,586.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $342.02 / $342.02 / $342.02	Facility	52	$342.02	$342.02	$342.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	53	$85.51	$85.51	$85.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.51 / $809.09 / $1,943.60	Professional		$246.51	$809.09	$1,943.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $309.18 / $583.57	Professional		$85.00	$309.18	$583.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $238.87 / $452.50	Facility		$91.11	$238.87	$452.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $392.18 / $884.63	Professional		$195.66	$392.18	$884.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $611.94 / $2,855.25	Facility		$147.60	$611.94	$2,855.25
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $342.02 / $342.02	Facility	52	$118.08	$342.02	$342.02
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $85.51 / $85.51	Facility	53	$29.52	$85.51	$85.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $1,121.00 / $1,943.60	Professional		$166.68	$1,121.00	$1,943.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $385.09 / $464.23 / $1,337.97	Professional		$385.09	$464.23	$1,337.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.59 / $465.15 / $1,024.80	Professional		$213.59	$465.15	$1,024.80