Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.35 / $165.83 / $14,482.00	Facility		$119.35	$165.83	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $643.50 / $643.50 / $643.50	Facility	50	$643.50	$643.50	$643.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $119.35 / $298.26	Professional		$88.26	$119.35	$298.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $103.32 / $168.47 / $862.11	Professional	50	$103.32	$168.47	$862.11
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 $88.81 / $154.09 / $398.39	Professional		$88.81	$154.09	$398.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $133.21 / $235.66 / $619.20	Professional	50	$133.21	$235.66	$619.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.23 / $306.43 / $494.26	Facility		$262.23	$306.43	$494.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $201.84 / $352.66	Professional		$94.90	$201.84	$352.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $114.24 / $173.07	Facility		$73.70	$114.24	$173.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $146.31 / $1,789.00	Facility		$74.95	$146.31	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $204.83 / $1,055.57	Professional		$103.21	$204.83	$1,055.57
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $366.57 / $366.57 / $366.57	Professional	50	$366.57	$366.57	$366.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.15 / $219.68	Professional		$58.91	$93.15	$219.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $116.38 / $199.00	Facility		$73.70	$116.38	$199.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $224.02 / $307.23	Professional		$154.05	$224.02	$307.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.08 / $562.08 / $562.08	Facility		$562.08	$562.08	$562.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $414.90 / $1,055.57	Professional		$149.24	$414.90	$1,055.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $780.87 / $947.89	Professional		$281.20	$780.87	$947.89
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 $101.01 / $182.44 / $405.38	Professional		$101.01	$182.44	$405.38