Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.07 / $276.02 / $14,482.00	Facility		$176.07	$276.02	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $841.10 / $841.10 / $882.70	Facility	50	$841.10	$841.10	$882.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $152.87 / $434.84	Professional		$104.17	$152.87	$434.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.06 / $195.48 / $931.50	Professional	50	$85.06	$195.48	$931.50
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 $120.42 / $227.32 / $544.22	Professional		$120.42	$227.32	$544.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $189.91 / $347.67 / $834.12	Professional	50	$189.91	$347.67	$834.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.65 / $419.11 / $676.00	Facility		$358.65	$419.11	$676.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $285.07 / $485.31	Professional		$130.77	$285.07	$485.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $159.88 / $242.91	Facility		$102.53	$159.88	$242.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.44 / $211.28 / $1,789.00	Facility		$108.44	$211.28	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $280.41 / $1,199.94	Professional		$128.62	$280.41	$1,199.94
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $530.54 / $828.90 / $844.20	Professional	50	$530.54	$828.90	$844.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $112.04 / $263.68	Professional		$65.00	$112.04	$263.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $159.88 / $248.27	Facility		$102.53	$159.88	$248.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.15 / $313.14 / $429.47	Professional		$228.15	$313.14	$429.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $825.54 / $825.54 / $825.54	Facility		$825.54	$825.54	$825.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.36 / $570.96 / $1,199.94	Professional		$206.36	$570.96	$1,199.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $386.98 / $1,144.08 / $1,304.51	Professional		$386.98	$1,144.08	$1,304.51
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 $93.00 / $248.60 / $781.89	Professional		$93.00	$248.60	$781.89