Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.56 / $1,089.04 / $3,119.00	Facility		$221.56	$1,089.04	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $770.78 / $1,431.01	Professional		$197.80	$770.78	$1,431.01
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 $293.52 / $1,082.02 / $4,576.16	Professional		$293.52	$1,082.02	$4,576.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,224.87 / $2,599.92 / $3,988.36	Facility		$2,224.87	$2,599.92	$3,988.36
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.26 / $875.68 / $3,417.48	Professional		$320.26	$875.68	$3,417.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.30 / $732.63 / $1,474.74	Facility		$201.30	$732.63	$1,474.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.30 / $810.48 / $3,242.00	Facility		$201.30	$810.48	$3,242.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $727.83 / $727.83	Facility	52	$727.83	$727.83	$727.83
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $181.96 / $181.96	Facility	53	$181.96	$181.96	$181.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.05 / $3,046.59 / $6,044.48	Professional		$1,023.05	$3,046.59	$6,044.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $689.63 / $1,689.03	Professional		$66.31	$689.63	$1,689.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.30 / $732.63 / $1,449.59	Facility		$201.30	$732.63	$1,449.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $448.83 / $943.60 / $2,714.08	Professional		$448.83	$943.60	$2,714.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $1,465.89 / $1,465.89	Facility		$343.38	$1,465.89	$1,465.89
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $727.83 / $727.83	Facility	52	$274.70	$727.83	$727.83
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $181.96 / $181.96	Facility	53	$68.68	$181.96	$181.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $383.14 / $3,046.59 / $6,044.48	Professional		$383.14	$3,046.59	$6,044.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $821.65 / $2,916.16 / $4,172.75	Professional		$821.65	$2,916.16	$4,172.75
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 $961.79 / $1,813.35 / $4,113.60	Professional		$961.79	$1,813.35	$4,113.60