Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $542.66 / $2,324.00	Facility		$135.27	$542.66	$2,324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $366.52 / $795.53	Professional		$135.27	$366.52	$795.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.17 / $395.53 / $875.50	Professional		$192.17	$395.53	$875.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $320.92 / $593.29 / $1,350.54	Professional	50	$320.92	$593.29	$1,350.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.10 / $1,234.15 / $1,893.22	Facility		$1,056.10	$1,234.15	$1,893.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.48 / $647.75 / $1,741.84	Professional		$270.48	$647.75	$1,741.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.33 / $338.33 / $659.74	Facility		$135.33	$338.33	$659.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.24 / $427.39 / $7,318.00	Facility		$143.24	$427.39	$7,318.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,434.98 / $3,003.25 / $4,563.60	Facility	50	$2,434.98	$3,003.25	$4,563.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.78 / $822.49 / $3,050.90	Professional		$453.78	$822.49	$3,050.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $285.88 / $828.07	Professional		$30.56	$285.88	$828.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.33 / $338.33 / $589.65	Facility		$135.33	$338.33	$589.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $612.67 / $1,249.84	Professional		$323.58	$612.67	$1,249.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $684.28 / $684.28 / $1,900.50	Facility		$684.28	$684.28	$1,900.50
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $534.08 / $534.08 / $534.08	Facility	52	$534.08	$534.08	$534.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.65 / $1,095.68 / $3,102.00	Professional		$343.65	$1,095.68	$3,102.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $515.29 / $853.53 / $2,295.27	Professional		$515.29	$853.53	$2,295.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $743.18 / $1,779.44	Professional		$434.97	$743.18	$1,779.44