Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $694.21 / $6,461.00	Facility		$277.14	$694.21	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $694.21 / $1,685.53	Professional		$292.57	$694.21	$1,685.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $424.19 / $516.03 / $516.03	Professional	50	$424.19	$516.03	$516.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.33 / $716.32 / $1,717.28	Professional		$438.33	$716.32	$1,717.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $657.49 / $1,074.48 / $2,575.92	Professional	50	$657.49	$1,074.48	$2,575.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,971.65 / $2,304.03 / $3,534.44	Facility		$1,971.65	$2,304.03	$3,534.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.75 / $1,321.94 / $3,261.34	Professional		$548.75	$1,321.94	$3,261.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $602.22 / $1,249.58	Facility		$277.14	$602.22	$1,249.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.31 / $708.90 / $12,741.00	Facility		$290.31	$708.90	$12,741.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $881.12 / $2,110.21 / $8,263.84	Professional		$881.12	$2,110.21	$8,263.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $563.06 / $1,482.58	Professional		$91.28	$563.06	$1,482.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $602.22 / $1,249.58	Facility		$277.14	$602.22	$1,249.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.29 / $1,328.09 / $2,406.91	Professional		$693.29	$1,328.09	$2,406.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,119.56 / $2,119.56 / $10,721.10	Facility		$2,119.56	$2,119.56	$10,721.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $701.33 / $2,778.63 / $8,263.84	Professional		$701.33	$2,778.63	$8,263.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.76 / $1,741.98 / $4,297.54	Professional		$1,007.76	$1,741.98	$4,297.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.67 / $1,591.34 / $3,291.68	Professional		$811.67	$1,591.34	$3,291.68