Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.70 / $443.35 / $4,802.39	Facility		$109.70	$443.35	$4,802.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $224.46 / $707.82	Professional		$111.21	$224.46	$707.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,212.03 / $1,212.03 / $1,212.03	Professional	50	$1,212.03	$1,212.03	$1,212.03
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 $132.84 / $229.39 / $638.16	Professional		$132.84	$229.39	$638.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.26 / $349.23 / $971.31	Professional	50	$199.26	$349.23	$971.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.43 / $783.45 / $1,201.83	Facility		$670.43	$783.45	$1,201.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.26 / $502.52 / $1,110.79	Professional		$200.26	$502.52	$1,110.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.70 / $225.47 / $373.24	Facility		$109.70	$225.47	$373.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $244.03 / $2,951.70	Facility		$114.10	$244.03	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.70 / $508.64 / $1,848.32	Professional		$226.70	$508.64	$1,848.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $180.36 / $498.27	Professional		$28.95	$180.36	$498.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $110.56 / $225.47 / $373.24	Facility		$110.56	$225.47	$373.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $276.10 / $427.99 / $805.94	Professional		$276.10	$427.99	$805.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $349.59 / $349.59 / $557.72	Facility		$349.59	$349.59	$557.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $1,062.45 / $1,848.32	Professional		$279.22	$1,062.45	$1,848.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $335.81 / $693.52 / $1,463.73	Professional		$335.81	$693.52	$1,463.73
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 $209.98 / $435.30 / $1,056.31	Professional		$209.98	$435.30	$1,056.31