Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.69 / $2,057.85 / $14,482.00	Facility		$835.69	$2,057.85	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.95 / $0.95 / $0.95	Facility	50	$0.95	$0.95	$0.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.48 / $835.69 / $1,977.36	Professional		$536.48	$835.69	$1,977.36
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 $529.26 / $1,078.99 / $2,845.94	Professional		$529.26	$1,078.99	$2,845.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,477.84 / $1,726.97 / $2,785.54	Facility		$1,477.84	$1,726.97	$2,785.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.92 / $1,354.65 / $2,715.91	Professional		$656.92	$1,354.65	$2,715.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $513.17 / $769.85 / $1,142.35	Facility		$513.17	$769.85	$1,142.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.82 / $4,103.00 / $8,384.00	Facility		$579.82	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.30 / $1,131.68 / $6,211.45	Professional		$541.30	$1,131.68	$6,211.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $298.31 / $908.73	Professional		$62.75	$298.31	$908.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $513.17 / $769.85 / $1,465.02	Facility		$513.17	$769.85	$1,465.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $998.40 / $1,317.89 / $1,967.35	Professional		$998.40	$1,317.89	$1,967.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $922.71 / $2,932.20 / $6,211.45	Professional		$922.71	$2,932.20	$6,211.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,537.64 / $3,365.83 / $5,421.03	Professional		$2,537.64	$3,365.83	$5,421.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.24 / $1,191.08 / $2,425.66	Professional		$553.24	$1,191.08	$2,425.66