Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $631.34 / $2,116.96	Facility		$100.43	$631.34	$2,116.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $504.38 / $884.64	Professional		$100.43	$504.38	$884.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $745.74 / $2,800.99	Professional		$185.98	$745.74	$2,800.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $278.97 / $1,118.60 / $4,201.47	Professional	50	$278.97	$1,118.60	$4,201.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,609.40 / $1,880.71 / $3,033.52	Facility		$1,609.40	$1,880.71	$3,033.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.79 / $662.25 / $2,125.10	Professional		$179.79	$662.25	$2,125.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $202.56 / $884.64	Facility		$100.43	$202.56	$884.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $884.64 / $4,793.00	Facility		$107.88	$884.64	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.57 / $1,523.41 / $3,040.42	Professional		$573.57	$1,523.41	$3,040.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $562.02 / $1,348.03	Professional		$85.00	$562.02	$1,348.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $202.56 / $884.64	Facility		$100.43	$202.56	$884.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.41 / $552.86 / $1,921.26	Professional		$224.41	$552.86	$1,921.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,042.07 / $1,042.07 / $1,042.07	Facility		$1,042.07	$1,042.07	$1,042.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $1,118.63 / $4,336.96	Professional		$136.58	$1,118.63	$4,336.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $579.54 / $2,114.98 / $3,536.18	Professional		$579.54	$2,114.98	$3,536.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.57 / $1,469.01 / $2,739.63	Professional		$573.57	$1,469.01	$2,739.63