Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,089.30 / $6,456.54	Facility		$186.21	$2,089.30	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility	50	$4,570.88	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,412.54 / $2,951.21	Professional		$154.88	$1,412.54	$2,951.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $478.63 / $4,786.30	Professional	50	$125.89	$478.63	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $12,882.50 / $21,877.62	Facility		$9,549.93	$12,882.50	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,905.46 / $6,918.31	Professional		$251.19	$1,905.46	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $2,884.03 / $10,232.93	Professional	50	$380.19	$2,884.03	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $8,511.38	Facility		$4,570.88	$5,248.07	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $549.54 / $5,888.44	Professional		$263.03	$549.54	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,311.31 / $5,754.40	Facility		$190.55	$3,311.31	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $4,677.35	Professional		$331.13	$512.86	$4,677.35
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $501.19 / $776.25 / $7,079.46	Professional	50	$501.19	$776.25	$7,079.46
DeanCare Facility/Professional Professional Modifier 80 Low / Median / High Price $53.70 / $83.18 / $758.58	Professional	80	$53.70	$83.18	$758.58
DeanCare Facility/Professional Professional Modifier AS Low / Median / High Price $46.77 / $72.44 / $660.69	Professional	AS	$46.77	$72.44	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $4,265.80 / $12,589.25	Facility		$190.55	$4,265.80	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $9,549.93	Professional		$1,949.84	$3,715.35	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,737.80 / $5,495.41	Professional		$263.03	$1,737.80	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $17,378.01	Facility		$11,748.98	$11,748.98	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,884.03 / $11,220.18	Professional		$213.80	$2,884.03	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $10,000.00	Professional		$660.69	$933.25	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,513.56 / $7,079.46	Professional		$190.55	$1,513.56	$7,079.46