Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $263.03 / $5,248.07	Facility		$154.88	$263.03	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $346.74	Professional		$107.15	$177.83	$346.74
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 $151.36 / $229.09 / $512.86	Professional		$151.36	$229.09	$512.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $338.84 / $758.58	Professional	50	$245.47	$338.84	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $933.25	Facility		$501.19	$588.84	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $676.08	Professional		$186.21	$363.08	$676.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $295.12 / $3,715.35	Facility		$112.20	$295.12	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $549.54	Professional		$239.88	$331.13	$549.54
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $501.19 / $831.76	Professional	50	$363.08	$501.19	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $363.08 / $1,778.28	Facility		$112.20	$363.08	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $1,380.38	Professional		$186.21	$338.84	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $645.65	Professional		$199.53	$354.81	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,548.82 / $1,548.82	Facility		$478.63	$1,548.82	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $407.38 / $1,318.26	Professional		$144.54	$407.38	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $676.08 / $1,122.02	Professional		$245.47	$676.08	$1,122.02
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 $112.20 / $251.19 / $676.08	Professional		$112.20	$251.19	$676.08