Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.51 / $247.48 / $17,475.59	Facility		$90.51	$247.48	$17,475.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $126.76 / $445.06	Professional		$86.40	$126.76	$445.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $221.07	Professional	50	$221.07	$221.07	$221.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $273.88 / $593.58	Professional		$113.67	$273.88	$593.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.91 / $410.82 / $890.37	Professional	50	$173.91	$410.82	$890.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $372.77 / $601.27	Facility		$319.00	$372.77	$601.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $263.77 / $431.70	Professional		$137.76	$263.77	$431.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $131.22 / $236.48	Facility		$77.17	$131.22	$236.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.24 / $180.47 / $3,995.00	Facility		$86.24	$180.47	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $374.54 / $629.91	Professional		$135.16	$374.54	$629.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $158.72 / $284.99	Professional		$59.63	$158.72	$284.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $131.22 / $236.48	Facility		$55.24	$131.22	$236.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.73 / $277.20 / $404.71	Professional		$193.73	$277.20	$404.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $395.28 / $395.28 / $395.28	Facility		$395.28	$395.28	$395.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $511.29 / $897.60	Professional		$117.55	$511.29	$897.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.24 / $408.36 / $588.13	Professional		$263.24	$408.36	$588.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $345.20 / $560.54	Professional		$134.41	$345.20	$560.54