Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $380.61 / $14,482.00	Facility		$77.31	$380.61	$14,482.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.46 / $35.90 / $135.66	Facility	53	$15.46	$35.90	$135.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $179.53 / $475.04	Professional		$77.31	$179.53	$475.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $195.75 / $586.55	Professional		$107.90	$195.75	$586.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $587.59 / $780.96	Facility		$502.83	$587.59	$780.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $339.21 / $833.03	Professional		$119.51	$339.21	$833.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.33 / $178.91 / $365.94	Facility		$82.33	$178.91	$365.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.40 / $204.30 / $1,449.00	Facility		$88.40	$204.30	$1,449.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.79 / $74.79 / $74.79	Facility	53	$74.79	$74.79	$74.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $789.70 / $1,553.44	Professional		$236.03	$789.70	$1,553.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $190.84 / $471.74	Professional		$114.18	$190.84	$471.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.33 / $179.53 / $378.43	Facility		$82.33	$179.53	$378.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $357.50 / $624.58	Professional		$188.39	$357.50	$624.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $212.52 / $580.01 / $2,922.50	Facility		$212.52	$580.01	$2,922.50
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $42.50 / $74.79 / $74.79	Facility	53	$42.50	$74.79	$74.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.41 / $916.20 / $1,553.44	Professional		$187.41	$916.20	$1,553.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $315.30 / $477.53 / $1,097.69	Professional		$315.30	$477.53	$1,097.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $224.76 / $444.16 / $992.90	Professional		$224.76	$444.16	$992.90