Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,584.89 / $5,623.41	Facility		$323.59	$1,584.89	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $501.19 / $501.19 / $3,548.13	Facility	50	$501.19	$501.19	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $549.54	Professional		$128.82	$190.55	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $177.83 / $831.76	Professional	50	$87.10	$177.83	$831.76
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 $151.36 / $302.00 / $741.31	Professional		$151.36	$302.00	$741.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $457.09 / $1,148.15	Professional	50	$229.09	$457.09	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $562.34	Professional		$229.09	$489.78	$562.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,019.95 / $5,370.32	Facility		$190.55	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $489.78	Professional		$281.84	$389.05	$489.78
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $588.84 / $724.44	Professional	50	$416.87	$588.84	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $4,570.88 / $8,317.64	Facility		$186.21	$4,570.88	$8,317.64
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	50	$1,230.27	$1,230.27	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $2,511.89	Professional		$158.49	$295.12	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $588.84	Professional		$177.83	$346.74	$588.84
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 / $758.58 / $2,511.89	Professional		$213.80	$758.58	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $933.25	Professional		$398.11	$851.14	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $660.69	Professional		$151.36	$251.19	$660.69