Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $159.08 / $1,894.00	Facility		$72.19	$159.08	$1,894.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,413.12 / $1,413.12 / $1,413.12	Facility	50	$1,413.12	$1,413.12	$1,413.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $126.77 / $397.09	Professional		$72.19	$126.77	$397.09
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 $114.18 / $176.80 / $449.61	Professional		$114.18	$176.80	$449.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.72 / $265.20 / $674.41	Professional	50	$158.72	$265.20	$674.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.84 / $417.00 / $639.69	Facility		$356.84	$417.00	$639.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $301.24 / $598.59	Professional		$140.32	$301.24	$598.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $130.19 / $270.76	Facility		$74.20	$130.19	$270.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $155.30 / $3,034.00	Facility		$76.22	$155.30	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $288.32 / $993.05	Professional		$156.54	$288.32	$993.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $127.76 / $312.41	Professional		$77.91	$127.76	$312.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $130.19 / $270.76	Facility		$74.20	$130.19	$270.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $285.83 / $446.31	Professional		$176.18	$285.83	$446.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $349.69 / $349.69 / $763.85	Facility		$349.69	$349.69	$763.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $572.54 / $1,004.72	Professional		$174.04	$572.54	$1,004.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $370.60 / $451.06 / $788.81	Professional		$370.60	$451.06	$788.81
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 $142.50 / $272.66 / $579.20	Professional		$142.50	$272.66	$579.20