Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.91 / $838.33 / $3,119.00	Facility		$241.91	$838.33	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $383.24 / $1,040.73	Professional		$238.03	$383.24	$1,040.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.83 / $667.27 / $1,394.09	Professional		$341.83	$667.27	$1,394.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $569.73 / $1,013.23 / $2,142.19	Professional	50	$569.73	$1,013.23	$2,142.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.78 / $1,301.55 / $2,099.35	Facility		$1,113.78	$1,301.55	$2,099.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $824.60 / $1,365.48	Professional		$428.40	$824.60	$1,365.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.91 / $389.87 / $801.07	Facility		$241.91	$389.87	$801.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.91 / $531.75 / $5,801.00	Facility		$241.91	$531.75	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.04 / $1,186.09 / $2,557.92	Professional		$405.04	$1,186.09	$2,557.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $336.33 / $851.28	Professional		$50.00	$336.33	$851.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.91 / $390.24 / $801.07	Facility		$241.91	$390.24	$801.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $591.86 / $917.46 / $1,368.15	Professional		$591.86	$917.46	$1,368.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,831.56 / $1,831.56 / $1,831.56	Facility		$1,831.56	$1,831.56	$1,831.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $364.05 / $1,758.87 / $3,056.56	Professional		$364.05	$1,758.87	$3,056.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $830.35 / $1,467.23 / $2,347.17	Professional		$830.35	$1,467.23	$2,347.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.05 / $1,050.63 / $1,832.38	Professional		$407.05	$1,050.63	$1,832.38