Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.99 / $1,522.31 / $8,243.00	Facility		$888.99	$1,522.31	$8,243.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.95 / $5,258.50 / $12,364.50	Facility	50	$0.95	$5,258.50	$12,364.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.21 / $776.46 / $1,815.02	Professional		$525.21	$776.46	$1,815.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.32 / $841.15 / $4,506.14	Professional	50	$733.32	$841.15	$4,506.14
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 $648.63 / $1,147.81 / $3,024.17	Professional		$648.63	$1,147.81	$3,024.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,081.06 / $1,755.48 / $4,536.25	Professional	50	$1,081.06	$1,755.48	$4,536.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.66 / $2,314.56 / $3,733.30	Facility		$1,980.66	$2,314.56	$3,733.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.29 / $1,496.84 / $3,615.49	Professional		$684.29	$1,496.84	$3,615.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $654.77 / $888.99 / $1,516.12	Facility		$654.77	$888.99	$1,516.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $654.77 / $1,164.97 / $8,384.00	Facility		$654.77	$1,164.97	$8,384.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,056.75 / $4,056.75 / $4,056.75	Facility	50	$4,056.75	$4,056.75	$4,056.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.57 / $1,462.48 / $7,208.00	Professional		$723.57	$1,462.48	$7,208.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,804.37 / $1,804.37 / $1,988.55	Professional	50	$1,804.37	$1,804.37	$1,988.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $410.55 / $1,226.41	Professional		$62.75	$410.55	$1,226.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $654.77 / $906.89 / $1,693.50	Facility		$654.77	$906.89	$1,693.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,150.50 / $1,729.84 / $2,490.37	Professional		$1,150.50	$1,729.84	$2,490.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,169.04 / $4,169.04 / $4,169.04	Facility		$4,169.04	$4,169.04	$4,169.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $934.39 / $2,892.70 / $7,208.00	Professional		$934.39	$2,892.70	$7,208.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,657.46 / $5,765.53 / $7,216.48	Professional		$2,657.46	$5,765.53	$7,216.48
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 $737.23 / $1,491.73 / $3,232.16	Professional		$737.23	$1,491.73	$3,232.16