Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.97 / $658.22 / $14,482.00	Facility		$378.97	$658.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.91 / $442.09 / $1,082.67	Professional		$267.91	$442.09	$1,082.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $515.21 / $515.21 / $721.29	Professional	50	$515.21	$515.21	$721.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $575.65 / $1,181.61	Professional		$298.16	$575.65	$1,181.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $557.66 / $863.47 / $1,835.02	Professional	50	$557.66	$863.47	$1,835.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.75 / $1,365.78 / $2,202.94	Facility		$1,168.75	$1,365.78	$2,202.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.56 / $804.21 / $1,575.51	Professional		$354.56	$804.21	$1,575.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $472.38 / $825.07	Facility		$279.58	$472.38	$825.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $658.22 / $1,789.00	Facility		$279.58	$658.22	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.18 / $922.10 / $4,146.17	Professional		$443.18	$922.10	$4,146.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $306.93 / $783.25	Professional		$28.95	$306.93	$783.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $472.38 / $825.07	Facility		$279.58	$472.38	$825.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $490.75 / $828.10 / $1,378.21	Professional		$490.75	$828.10	$1,378.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,775.28 / $1,775.28 / $1,775.28	Facility		$1,775.28	$1,775.28	$1,775.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $454.99 / $1,853.55 / $4,146.17	Professional		$454.99	$1,853.55	$4,146.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.44 / $2,456.42 / $4,234.93	Professional		$1,165.44	$2,456.42	$4,234.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $412.09 / $829.20 / $1,903.11	Professional		$412.09	$829.20	$1,903.11