Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.79 / $945.27 / $14,482.00	Facility		$681.79	$945.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.33 / $681.79 / $1,779.94	Professional		$450.33	$681.79	$1,779.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $210.69 / $210.69	Professional	50	$210.69	$210.69	$210.69
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 $526.45 / $884.75 / $2,317.92	Professional		$526.45	$884.75	$2,317.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $892.06 / $1,346.32 / $3,476.88	Professional	50	$892.06	$1,346.32	$3,476.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,676.98 / $1,959.69 / $3,160.91	Facility		$1,676.98	$1,959.69	$3,160.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.91 / $1,248.79 / $2,996.03	Professional		$547.91	$1,248.79	$2,996.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $502.57 / $701.08 / $1,173.84	Facility		$502.57	$701.08	$1,173.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.57 / $945.27 / $8,384.00	Facility		$502.57	$945.27	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $604.89 / $1,312.71 / $4,642.80	Professional		$604.89	$1,312.71	$4,642.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $320.47 / $1,036.91	Professional		$58.42	$320.47	$1,036.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $502.57 / $701.08 / $1,262.90	Facility		$502.57	$701.08	$1,262.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $883.35 / $1,420.73 / $2,091.78	Professional		$883.35	$1,420.73	$2,091.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,196.56 / $3,196.56 / $3,196.56	Facility		$3,196.56	$3,196.56	$3,196.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.75 / $2,664.36 / $4,642.80	Professional		$772.75	$2,664.36	$4,642.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.38 / $4,423.50 / $6,087.35	Professional		$2,046.38	$4,423.50	$6,087.35
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 $568.33 / $1,676.84 / $3,292.44	Professional		$568.33	$1,676.84	$3,292.44