Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.81 / $1,462.16 / $14,482.00	Facility		$243.81	$1,462.16	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $121.91 / $403.63 / $1,302.95	Facility	52	$121.91	$403.63	$1,302.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $663.34 / $1,228.25	Professional		$218.52	$663.34	$1,228.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $999.75 / $3,631.76	Professional		$323.00	$999.75	$3,631.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,970.75 / $2,302.98 / $3,532.83	Facility		$1,970.75	$2,302.98	$3,532.83
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $908.39 / $3,032.71	Professional		$351.10	$908.39	$3,032.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $616.70 / $1,231.11	Facility		$221.71	$616.70	$1,231.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.44 / $700.63 / $3,242.00	Facility		$221.44	$700.63	$3,242.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $805.34 / $805.34 / $805.34	Facility	52	$805.34	$805.34	$805.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $736.52 / $2,193.58 / $5,373.76	Professional		$736.52	$2,193.58	$5,373.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $973.50 / $1,831.48	Professional		$85.00	$973.50	$1,831.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $616.70 / $1,231.11	Facility		$221.71	$616.70	$1,231.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $496.62 / $1,027.65 / $2,400.66	Professional		$496.62	$1,027.65	$2,400.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $1,550.40 / $1,550.40	Facility		$377.53	$1,550.40	$1,550.40
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $805.34 / $805.34	Facility	52	$302.02	$805.34	$805.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $425.42 / $2,374.96 / $5,373.76	Professional		$425.42	$2,374.96	$5,373.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $869.13 / $2,090.50 / $3,702.97	Professional		$869.13	$2,090.50	$3,702.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.25 / $1,392.93 / $3,145.59	Professional		$712.25	$1,392.93	$3,145.59