Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.54 / $726.44 / $14,482.00	Facility		$467.54	$726.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.74 / $523.29 / $1,312.31	Professional		$284.74	$523.29	$1,312.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
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 $361.01 / $623.04 / $1,567.69	Professional		$361.01	$623.04	$1,567.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $660.77 / $1,016.04 / $2,351.53	Professional	50	$660.77	$1,016.04	$2,351.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.91 / $1,513.20 / $2,440.73	Facility		$1,294.91	$1,513.20	$2,440.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.42 / $928.27 / $2,171.61	Professional		$415.42	$928.27	$2,171.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $325.88 / $520.52 / $889.96	Facility		$325.88	$520.52	$889.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.94 / $672.34 / $8,384.00	Facility		$345.94	$672.34	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $1,004.18 / $3,571.45	Professional		$433.77	$1,004.18	$3,571.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $244.82 / $732.45	Professional		$30.95	$244.82	$732.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $297.75 / $520.52 / $889.96	Facility		$297.75	$520.52	$889.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $607.10 / $1,027.40 / $1,594.38	Professional		$607.10	$1,027.40	$1,594.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,200.44 / $2,200.44 / $2,200.44	Facility		$2,200.44	$2,200.44	$2,200.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $528.19 / $2,046.96 / $3,571.45	Professional		$528.19	$2,046.96	$3,571.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.43 / $3,049.06 / $4,676.85	Professional		$1,332.43	$3,049.06	$4,676.85
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 $452.36 / $884.05 / $2,009.51	Professional		$452.36	$884.05	$2,009.51