Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.37 / $1,373.60 / $14,482.00	Facility		$716.37	$1,373.60	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $537.28 / $760.45 / $1,836.05	Facility	54	$537.28	$760.45	$1,836.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $694.36 / $1,644.78	Professional		$411.75	$694.36	$1,644.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $943.07 / $2,227.92	Professional		$553.15	$943.07	$2,227.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,803.14 / $2,107.11 / $3,398.70	Facility		$1,803.14	$2,107.11	$3,398.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.17 / $1,343.28 / $2,425.80	Professional		$582.17	$1,343.28	$2,425.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $481.95 / $732.59 / $1,265.08	Facility		$481.95	$732.59	$1,265.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.52 / $982.70 / $8,384.00	Facility		$509.52	$982.70	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $657.07 / $1,413.95 / $4,981.52	Professional		$657.07	$1,413.95	$4,981.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $351.24 / $1,067.26	Professional		$62.75	$351.24	$1,067.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $481.26 / $732.59 / $1,265.08	Facility		$481.26	$732.59	$1,265.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $928.20 / $1,509.68 / $2,138.71	Professional		$928.20	$1,509.68	$2,138.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,358.56 / $3,358.56 / $3,358.56	Facility		$3,358.56	$3,358.56	$3,358.56
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.22 / $1,513.22 / $1,513.22	Facility	54	$1,513.22	$1,513.22	$1,513.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $810.24 / $2,861.96 / $4,981.52	Professional		$810.24	$2,861.96	$4,981.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.77 / $4,652.29 / $6,538.88	Professional		$1,939.77	$4,652.29	$6,538.88
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 $639.49 / $1,291.28 / $2,879.55	Professional		$639.49	$1,291.28	$2,879.55