Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.85 / $442.82 / $3,119.00	Facility		$127.85	$442.82	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $197.04 / $707.66	Professional		$126.68	$197.04	$707.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.21 / $440.75 / $1,004.33	Professional		$202.21	$440.75	$1,004.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $313.06 / $731.09 / $1,506.49	Professional	50	$313.06	$731.09	$1,506.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.73 / $684.47 / $1,104.03	Facility		$585.73	$684.47	$1,104.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.10 / $435.07 / $718.69	Professional		$228.10	$435.07	$718.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.85 / $216.49 / $423.14	Facility		$127.85	$216.49	$423.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $298.30 / $1,778.00	Facility		$149.58	$298.30	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $651.76 / $1,356.92	Professional		$237.91	$651.76	$1,356.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $294.40 / $440.27	Professional		$97.60	$294.40	$440.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.85 / $216.49 / $423.14	Facility		$127.85	$216.49	$423.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $488.29 / $723.09	Professional		$315.00	$488.29	$723.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $971.04 / $971.04 / $971.04	Facility		$971.04	$971.04	$971.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $925.74 / $1,608.96	Professional		$193.08	$925.74	$1,608.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $454.90 / $778.18 / $1,235.36	Professional		$454.90	$778.18	$1,235.36
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 $237.91 / $576.66 / $1,010.69	Professional		$237.91	$576.66	$1,010.69