Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.68 / $1,026.79 / $14,482.00	Facility		$745.68	$1,026.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.77 / $688.14 / $1,566.39	Professional		$540.77	$688.14	$1,566.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $7,182.00 / $7,182.00 / $7,182.00	Professional	50	$7,182.00	$7,182.00	$7,182.00
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 $471.95 / $956.82 / $2,533.92	Professional		$471.95	$956.82	$2,533.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $761.14 / $1,444.15 / $3,800.88	Professional	50	$761.14	$1,444.15	$3,800.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,369.70 / $1,600.61 / $2,581.71	Facility		$1,369.70	$1,600.61	$2,581.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.16 / $1,171.91 / $2,423.39	Professional		$548.16	$1,171.91	$2,423.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $495.30 / $745.68 / $1,052.45	Facility		$495.30	$745.68	$1,052.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.62 / $905.17 / $4,130.00	Facility		$547.62	$905.17	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $576.32 / $1,110.29 / $3,840.32	Professional		$576.32	$1,110.29	$3,840.32
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $922.28 / $922.28 / $922.28	Professional	50	$922.28	$922.28	$922.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $270.82 / $834.95	Professional		$58.42	$270.82	$834.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $495.30 / $745.68 / $1,260.00	Facility		$495.30	$745.68	$1,260.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $947.36 / $1,210.18 / $1,748.62	Professional		$947.36	$1,210.18	$1,748.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,074.84 / $4,074.84 / $4,074.84	Facility		$4,074.84	$4,074.84	$4,074.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $823.33 / $2,422.19 / $3,840.32	Professional		$823.33	$2,422.19	$3,840.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $4,837.18 / $5,010.68	Professional		$1,705.32	$4,837.18	$5,010.68
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 $542.03 / $1,021.26 / $2,202.60	Professional		$542.03	$1,021.26	$2,202.60