Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.52 / $1,287.83 / $14,482.00	Facility		$934.52	$1,287.83	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $700.89 / $700.89 / $1,721.40	Facility	54	$700.89	$700.89	$1,721.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.21 / $934.52 / $2,295.19	Professional		$581.21	$934.52	$2,295.19
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $1,402.11 / $1,402.11 / $1,402.11	Professional	55	$1,402.11	$1,402.11	$1,402.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.54 / $1,374.34 / $4,318.21	Professional		$903.54	$1,374.34	$4,318.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.86 / $1,939.68 / $3,128.64	Facility		$1,659.86	$1,939.68	$3,128.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.58 / $1,516.35 / $2,257.44	Professional		$866.58	$1,516.35	$2,257.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $597.41 / $934.52 / $1,846.99	Facility		$597.41	$934.52	$1,846.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.84 / $7,301.00 / $15,702.00	Facility		$686.84	$7,301.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.80 / $1,851.08 / $4,714.27	Professional		$1,023.80	$1,851.08	$4,714.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $321.65 / $991.45	Professional		$62.75	$321.65	$991.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $597.41 / $934.52 / $1,846.99	Facility		$597.41	$934.52	$1,846.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,112.40 / $1,468.37 / $2,191.98	Professional		$1,112.40	$1,468.37	$2,191.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $7,881.75 / $7,881.75 / $7,881.75	Facility	54	$7,881.75	$7,881.75	$7,881.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,032.82 / $4,595.00 / $4,714.27	Professional		$1,032.82	$4,595.00	$4,714.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,636.13 / $5,412.70 / $6,067.91	Professional		$3,636.13	$5,412.70	$6,067.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,851.08 / $4,027.52	Professional		$876.00	$1,851.08	$4,027.52