Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.95 / $785.12 / $6,461.00	Facility		$265.95	$785.12	$6,461.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,389.62 / $8,005.44 / $8,005.44	Facility	50	$5,389.62	$8,005.44	$8,005.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $358.72 / $1,399.25	Professional		$265.95	$358.72	$1,399.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $802.36 / $2,257.21 / $2,348.40	Professional	50	$802.36	$2,257.21	$2,348.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.53 / $878.49 / $1,932.58	Professional		$371.53	$878.49	$1,932.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $584.77 / $1,317.73 / $2,898.87	Professional	50	$584.77	$1,317.73	$2,898.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.46 / $1,187.82 / $1,915.91	Facility		$1,016.46	$1,187.82	$1,915.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.61 / $914.90 / $1,355.31	Professional		$432.61	$914.90	$1,355.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $389.31 / $750.22	Facility		$157.50	$389.31	$750.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.95 / $577.98 / $8,103.00	Facility		$265.95	$577.98	$8,103.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,449.45 / $1,449.45 / $1,449.45	Facility	50	$1,449.45	$1,449.45	$1,449.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.52 / $1,144.13 / $2,409.14	Professional		$432.52	$1,144.13	$2,409.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $309.23 / $827.63	Professional		$31.53	$309.23	$827.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $389.31 / $750.22	Facility		$151.19	$389.31	$750.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $910.01 / $1,291.71	Professional		$640.40	$910.01	$1,291.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,027.76 / $2,027.76 / $2,027.76	Facility		$2,027.76	$2,027.76	$2,027.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.57 / $1,626.93 / $2,859.28	Professional		$400.57	$1,626.93	$2,859.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $967.84 / $1,614.41 / $2,171.11	Professional		$967.84	$1,614.41	$2,171.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.30 / $1,112.66 / $1,771.34	Professional		$427.30	$1,112.66	$1,771.34