Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.76 / $991.98 / $14,482.00	Facility		$717.76	$991.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $692.76 / $1,630.00	Professional		$447.69	$692.76	$1,630.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $1,492.96	Professional	50	$1,141.71	$1,181.43	$1,492.96
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 $526.25 / $926.72 / $2,445.23	Professional		$526.25	$926.72	$2,445.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $877.09 / $1,417.35 / $3,667.85	Professional	50	$877.09	$1,417.35	$3,667.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,617.51 / $1,890.19 / $3,048.81	Facility		$1,617.51	$1,890.19	$3,048.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.25 / $1,232.68 / $2,780.83	Professional		$558.25	$1,232.68	$2,780.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $529.05 / $739.76 / $1,237.73	Facility		$529.05	$739.76	$1,237.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $529.05 / $981.11 / $8,384.00	Facility		$529.05	$981.11	$8,384.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,771.00 / $3,771.00 / $3,771.00	Facility	50	$3,771.00	$3,771.00	$3,771.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $613.52 / $1,191.23 / $7,569.00	Professional		$613.52	$1,191.23	$7,569.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $347.97 / $1,020.03	Professional		$58.42	$347.97	$1,020.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $529.05 / $740.39 / $1,533.58	Facility		$529.05	$740.39	$1,533.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $928.85 / $1,411.16 / $2,031.59	Professional		$928.85	$1,411.16	$2,031.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,362.52 / $3,362.52 / $3,362.52	Facility		$3,362.52	$3,362.52	$3,362.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $755.10 / $2,340.30 / $7,569.00	Professional		$755.10	$2,340.30	$7,569.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.30 / $4,654.89 / $5,889.70	Professional		$2,266.30	$4,654.89	$5,889.70
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 $613.52 / $1,200.33 / $2,552.59	Professional		$613.52	$1,200.33	$2,552.59