Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $337.92 / $3,540.02	Facility		$45.44	$337.92	$3,540.02
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.76 / $65.52 / $403.77	Facility	52	$19.76	$65.52	$403.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $201.01 / $380.91	Professional		$34.58	$201.01	$380.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $222.63 / $1,124.65	Professional		$52.35	$222.63	$1,124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.66 / $717.11 / $1,100.07	Facility		$613.66	$717.11	$1,100.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $177.55 / $939.14	Professional		$58.34	$177.55	$939.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $175.52 / $380.91	Facility		$37.04	$175.52	$380.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $211.94 / $1,209.00	Facility		$36.79	$211.94	$1,209.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $135.65 / $135.65 / $135.65	Facility	52	$135.65	$135.65	$135.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $669.47 / $1,659.04	Professional		$232.78	$669.47	$1,659.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $327.12 / $554.52	Professional		$70.00	$327.12	$554.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $175.52 / $380.91	Facility		$37.04	$175.52	$380.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $237.80 / $722.70	Professional		$78.40	$237.80	$722.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $214.45 / $214.45	Facility		$64.27	$214.45	$214.45
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $135.65 / $135.65	Facility	52	$51.42	$135.65	$135.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $750.98 / $1,659.04	Professional		$69.04	$750.98	$1,659.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $786.50 / $1,146.71	Professional		$180.02	$786.50	$1,146.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,630.00 / $2,202.90	Facility		$1,034.00	$1,630.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $220.85 / $436.77 / $990.81	Professional		$220.85	$436.77	$990.81