Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $220.25 / $1,894.00	Facility		$99.36	$220.25	$1,894.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.20 / $954.20 / $954.20	Facility	50	$954.20	$954.20	$954.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $154.69 / $566.87	Professional		$99.36	$154.69	$566.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,634.94 / $1,634.94 / $1,634.94	Professional	50	$1,634.94	$1,634.94	$1,634.94
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 $133.56 / $243.32 / $589.91	Professional		$133.56	$243.32	$589.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.50 / $364.98 / $917.07	Professional	50	$208.50	$364.98	$917.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.03 / $500.19 / $767.30	Facility		$428.03	$500.19	$767.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $411.13 / $716.20	Professional		$180.11	$411.13	$716.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.01 / $160.18 / $317.48	Facility		$105.01	$160.18	$317.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $213.57 / $3,034.00	Facility		$107.88	$213.57	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $349.55 / $1,203.29	Professional		$192.56	$349.55	$1,203.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $164.41 / $367.52	Professional		$83.09	$164.41	$367.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.01 / $160.18 / $317.48	Facility		$105.01	$160.18	$317.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.61 / $369.15 / $544.11	Professional		$248.61	$369.15	$544.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $176.79 / $176.79 / $493.51	Facility		$176.79	$176.79	$493.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.93 / $685.04 / $1,310.76	Professional		$239.93	$685.04	$1,310.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $507.60 / $621.86 / $943.78	Professional		$507.60	$621.86	$943.78
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 $183.88 / $327.25 / $706.50	Professional		$183.88	$327.25	$706.50