Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.48 / $578.36 / $3,146.00	Facility		$235.48	$578.36	$3,146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $271.50 / $1,088.00	Professional		$149.96	$271.50	$1,088.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $377.10 / $388.74	Professional	50	$342.56	$377.10	$388.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $357.69 / $803.28	Professional		$190.77	$357.69	$803.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.51 / $536.53 / $1,204.92	Professional	50	$346.51	$536.53	$1,204.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.94 / $884.55 / $1,426.74	Facility		$756.94	$884.55	$1,426.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.21 / $541.16 / $1,206.10	Professional		$219.21	$541.16	$1,206.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $275.51 / $530.34	Facility		$144.22	$275.51	$530.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $404.61 / $5,639.00	Facility		$162.87	$404.61	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.47 / $677.85 / $2,232.84	Professional		$285.47	$677.85	$2,232.84
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $491.67 / $491.67 / $1,056.33	Professional	50	$491.67	$491.67	$1,056.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $186.55 / $509.29	Professional		$26.31	$186.55	$509.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $275.51 / $530.34	Facility		$144.22	$275.51	$530.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.55 / $531.70 / $928.92	Professional		$303.55	$531.70	$928.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $1,101.00 / $1,101.00	Facility		$1,101.00	$1,101.00	$1,101.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $1,170.24 / $2,232.84	Professional		$293.68	$1,170.24	$2,232.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $666.63 / $1,523.90 / $2,735.71	Professional		$666.63	$1,523.90	$2,735.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $522.76 / $1,188.27	Professional		$278.27	$522.76	$1,188.27