Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $112.14 / $1,894.00	Facility		$50.24	$112.14	$1,894.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,548.19 / $2,587.10 / $4,057.05	Facility	50	$2,548.19	$2,587.10	$4,057.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $95.55 / $290.14	Professional		$53.00	$95.55	$290.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $225.89 / $577.13 / $2,840.07	Professional	50	$225.89	$577.13	$2,840.07
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 $70.77 / $141.97 / $371.05	Professional		$70.77	$141.97	$371.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.17 / $212.95 / $556.57	Professional	50	$119.17	$212.95	$556.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.13 / $307.48 / $471.69	Facility		$263.13	$307.48	$471.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $210.57 / $437.11	Professional		$99.88	$210.57	$437.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $95.55 / $198.76	Facility		$53.00	$95.55	$198.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $109.91 / $2,951.70	Facility		$56.27	$109.91	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $255.48 / $1,087.00	Professional		$122.32	$255.48	$1,087.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $109.93 / $241.85	Professional		$58.91	$109.93	$241.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $95.55 / $198.76	Facility		$53.26	$95.55	$198.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $213.68 / $346.41	Professional		$125.85	$213.68	$346.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.89 / $292.89 / $982.04	Facility		$292.89	$292.89	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $351.23 / $1,087.00	Professional		$121.69	$351.23	$1,087.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $328.59 / $575.98	Professional		$232.11	$328.59	$575.98
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 $104.84 / $255.63 / $456.58	Professional		$104.84	$255.63	$456.58