Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $199.78 / $1,894.00	Facility		$50.66	$199.78	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $108.44 / $342.69	Professional		$51.55	$108.44	$342.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $715.80 / $3,238.00	Professional	50	$204.82	$715.80	$3,238.00
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 $73.23 / $134.52 / $391.93	Professional		$73.23	$134.52	$391.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.18 / $201.78 / $587.89	Professional	50	$120.18	$201.78	$587.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $348.55 / $534.69	Facility		$298.27	$348.55	$534.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $223.84 / $494.51	Professional		$103.63	$223.84	$494.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $109.41 / $227.03	Facility		$53.09	$109.41	$227.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.27 / $121.66 / $2,951.70	Facility		$59.27	$121.66	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $238.73 / $1,367.00	Professional		$128.27	$238.73	$1,367.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $126.04 / $250.69	Professional		$58.91	$126.04	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $109.41 / $227.03	Facility		$53.09	$109.41	$227.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $226.73 / $387.79	Professional		$124.32	$226.73	$387.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.90 / $144.90 / $302.38	Facility		$144.90	$144.90	$302.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $436.61 / $1,367.00	Professional		$127.18	$436.61	$1,367.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $370.61 / $651.61	Professional		$232.11	$370.61	$651.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $229.72 / $526.45	Professional		$119.47	$229.72	$526.45