Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $8,128.31	Facility		$338.84	$562.34	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $1,096.48	Professional		$302.00	$549.54	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,380.38	Professional	50	$1,047.13	$1,047.13	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $416.87 / $831.76	Professional	54	$281.84	$416.87	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $645.65 / $1,584.89	Professional		$316.23	$645.65	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $954.99 / $2,398.83	Professional	50	$478.63	$954.99	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $549.54	Facility		$316.23	$380.19	$549.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $446.68	Professional		$331.13	$331.13	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,047.13 / $1,659.59	Professional		$380.19	$1,047.13	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $3,162.28	Facility		$323.59	$478.63	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,047.13	Professional		$630.96	$851.14	$1,047.13
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $1,258.93 / $1,584.89	Professional	50	$933.25	$1,258.93	$1,584.89
DeanCare Facility/Professional Professional Modifier 54 Low / Median / High Price $501.19 / $676.08 / $851.14	Professional	54	$501.19	$676.08	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $1,513.56	Facility		$323.59	$512.86	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $2,630.27	Professional		$309.03	$630.96	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,258.93	Professional		$602.56	$912.01	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $4,786.30	Facility		$2,630.27	$4,786.30	$4,786.30
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $616.60 / $616.60 / $1,445.44	Facility	54	$616.60	$616.60	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,584.89 / $2,570.40	Professional		$575.44	$1,584.89	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,137.96 / $2,238.72	Professional		$524.81	$2,137.96	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,318.26	Professional		$295.12	$478.63	$1,318.26