Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.21 / $334.69 / $14,482.00	Facility		$218.21	$334.69	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $711.40 / $711.40 / $711.40	Facility	50	$711.40	$711.40	$711.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $236.37 / $705.50	Professional		$150.56	$236.37	$705.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $249.42 / $249.42 / $999.71	Professional	50	$249.42	$249.42	$999.71
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 $169.87 / $287.25 / $676.75	Professional		$169.87	$287.25	$676.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $297.83 / $453.05 / $1,044.75	Professional	50	$297.83	$453.05	$1,044.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.94 / $692.89 / $1,117.60	Facility		$592.94	$692.89	$1,117.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $439.15 / $797.94	Professional		$181.64	$439.15	$797.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $229.75 / $398.36	Facility		$139.65	$229.75	$398.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.56 / $308.61 / $1,789.00	Facility		$150.56	$308.61	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $460.03 / $1,856.41	Professional		$213.30	$460.03	$1,856.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $188.51 / $445.94	Professional		$116.44	$188.51	$445.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $238.92 / $401.63	Facility		$139.65	$238.92	$401.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.05 / $472.75 / $697.76	Professional		$284.05	$472.75	$697.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,025.88 / $1,025.88 / $1,025.88	Facility		$1,025.88	$1,025.88	$1,025.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.01 / $938.75 / $1,856.41	Professional		$248.01	$938.75	$1,856.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $622.63 / $1,420.95 / $2,144.75	Professional		$622.63	$1,420.95	$2,144.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $393.55 / $912.57	Professional		$208.63	$393.55	$912.57