Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $549.54 / $7,585.78	Facility		$218.78	$549.54	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $3,235.94 / $5,623.41	Facility	50	$3,235.94	$3,235.94	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $1,047.13	Professional		$162.18	$309.03	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $1,479.11 / $4,265.80	Professional	50	$512.86	$1,479.11	$4,265.80
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 Low / Median / High Price $186.21 / $354.81 / $1,000.00	Professional		$186.21	$354.81	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $549.54 / $1,513.56	Professional	50	$281.84	$549.54	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,288.25	Facility		$691.83	$794.33	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $912.01	Professional		$257.04	$512.86	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $537.03 / $4,265.80	Facility		$190.55	$537.03	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $776.25	Professional		$338.84	$478.63	$776.25
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $707.95 / $1,174.90	Professional	50	$512.86	$707.95	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $851.14 / $5,754.40	Facility		$190.55	$851.14	$5,754.40
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	50	$1,819.70	$1,819.70	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $3,388.44	Professional		$263.03	$501.19	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $912.01	Professional		$269.15	$489.78	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $5,248.07	Facility		$3,019.95	$5,248.07	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $575.44 / $3,388.44	Professional		$213.80	$575.44	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $1,548.82	Professional		$426.58	$954.99	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $954.99	Professional		$186.21	$380.19	$954.99