Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $350.25 / $9,245.00	Facility		$114.34	$350.25	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $229.78 / $947.19	Professional		$114.34	$229.78	$947.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $474.95	Professional	50	$474.95	$474.95	$474.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $455.62 / $1,045.31	Professional		$197.67	$455.62	$1,045.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $296.50 / $671.08 / $1,567.96	Professional	50	$296.50	$671.08	$1,567.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.05 / $712.90 / $1,149.88	Facility		$610.05	$712.90	$1,149.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $403.58 / $810.00	Professional		$226.15	$403.58	$810.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $214.67 / $444.77	Facility		$114.34	$214.67	$444.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $444.77 / $5,639.00	Facility		$135.69	$444.77	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $714.26 / $5,690.00	Professional		$244.46	$714.26	$5,690.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $325.87 / $593.04	Professional		$85.00	$325.87	$593.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $227.56 / $465.11	Facility		$114.34	$227.56	$465.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $443.36 / $762.21	Professional		$286.01	$443.36	$762.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,545.37 / $1,545.37 / $1,545.37	Facility		$1,545.37	$1,545.37	$1,545.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $969.98 / $6,427.75	Professional		$172.13	$969.98	$6,427.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $530.97 / $693.75 / $1,294.40	Professional		$530.97	$693.75	$1,294.40
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 $240.08 / $679.41 / $1,032.17	Professional		$240.08	$679.41	$1,032.17