Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.92 / $1,811.47 / $11,446.38	Facility		$205.92	$1,811.47	$11,446.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,569.02 / $10,569.02 / $10,569.02	Facility	50	$10,569.02	$10,569.02	$10,569.02
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.96 / $367.94 / $1,614.23	Facility	52	$102.96	$367.94	$1,614.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.18 / $147.18 / $645.69	Facility	53	$41.18	$147.18	$645.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $816.25 / $1,337.67	Professional		$205.92	$816.25	$1,337.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.34 / $1,357.21 / $4,223.84	Professional		$381.34	$1,357.21	$4,223.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,433.92 / $2,844.23 / $4,587.64	Facility		$2,433.92	$2,844.23	$4,587.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.01 / $830.15 / $3,225.40	Professional		$367.01	$830.15	$3,225.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $205.92 / $419.51 / $1,337.67	Facility		$205.92	$419.51	$1,337.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.21 / $1,337.67 / $8,384.00	Facility		$220.21	$1,337.67	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.80 / $2,563.07 / $4,795.92	Professional		$923.80	$2,563.07	$4,795.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $858.79 / $2,058.77	Professional		$85.00	$858.79	$2,058.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $205.92 / $419.51 / $1,337.67	Facility		$205.92	$419.51	$1,337.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $458.74 / $867.60 / $3,084.62	Professional		$458.74	$867.60	$3,084.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,634.36 / $1,634.36 / $1,634.36	Facility		$1,634.36	$1,634.36	$1,634.36
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $727.83 / $727.83	Facility	52	$727.83	$727.83	$727.83
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $181.96 / $181.96	Facility	53	$181.96	$181.96	$181.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.01 / $1,697.81 / $6,599.52	Professional		$279.01	$1,697.81	$6,599.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.89 / $3,464.05 / $5,367.03	Professional		$1,183.89	$3,464.05	$5,367.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $942.54 / $2,458.98 / $4,321.47	Professional		$942.54	$2,458.98	$4,321.47