Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $9,332.54	Facility		$467.74	$1,148.15	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $5,248.07 / $19,498.45	Facility	50	$2,570.40	$5,248.07	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,905.46	Professional		$467.74	$616.60	$1,905.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $2,344.23 / $8,709.64	Professional	50	$851.14	$2,344.23	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,230.27 / $2,691.53	Professional		$602.56	$1,230.27	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $1,905.46 / $3,981.07	Professional	50	$954.99	$1,905.46	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,862.09	Professional		$575.44	$1,122.02	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $3,311.31	Facility		$524.81	$1,288.25	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,862.09	Professional		$1,023.29	$1,479.11	$1,862.09
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,513.56 / $2,187.76 / $2,754.23	Professional	50	$1,513.56	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $5,128.61	Facility		$537.03	$1,288.25	$5,128.61
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $4,786.30 / $5,754.40	Facility	50	$3,467.37	$4,786.30	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $4,168.69	Professional		$588.84	$1,071.52	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,089.30	Professional		$933.25	$1,445.44	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $5,623.41	Facility		$3,801.89	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $4,466.84	Professional		$549.54	$891.25	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $2,754.23	Professional		$1,096.48	$2,398.83	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $2,187.76	Professional		$537.03	$870.96	$2,187.76