Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,659.59 / $6,456.54	Facility		$512.86	$1,659.59	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $8,709.64 / $11,748.98	Facility	50	$1,548.82	$8,709.64	$11,748.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $3,548.13 / $5,623.41	Professional	50	$234.42	$3,548.13	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $562.34 / $1,230.27 / $2,884.03	Professional	50	$562.34	$1,230.27	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,801.89 / $7,413.10	Facility		$416.87	$3,801.89	$7,413.10
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,548.82 / $1,862.09	Professional	50	$1,122.02	$1,548.82	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,495.41 / $8,317.64	Facility		$416.87	$5,495.41	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,479.11	Professional		$512.86	$1,000.00	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11