Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $501.19 / $676.08	Facility		$154.88	$501.19	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $234.42 / $724.44	Professional		$75.86	$234.42	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $288.40 / $691.83	Professional	50	$56.23	$288.40	$691.83
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 $109.65 / $190.55 / $389.05	Professional		$109.65	$190.55	$389.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $288.40 / $588.84	Professional	50	$165.96	$288.40	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $758.58 / $1,230.27	Facility		$660.69	$758.58	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $870.96	Professional		$123.03	$263.03	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $389.05 / $3,715.35	Facility		$87.10	$389.05	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $676.08	Professional		$158.49	$257.04	$676.08
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $380.19 / $1,023.29	Professional	50	$239.88	$380.19	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $363.08 / $1,778.28	Facility		$85.11	$363.08	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $1,819.70	Professional		$218.78	$380.19	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $870.96	Professional		$134.90	$302.00	$870.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,995.26 / $1,995.26	Facility		$269.15	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $524.81 / $1,737.80	Professional		$102.33	$524.81	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $1,479.11	Professional		$213.80	$446.68	$1,479.11
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 $89.13 / $263.03 / $812.83	Professional		$89.13	$263.03	$812.83