Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,089.30 / $6,456.54	Facility		$173.78	$2,089.30	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility	50	$3,467.37	$3,467.37	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,412.54 / $2,951.21	Professional		$141.25	$1,412.54	$2,951.21
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 $229.09 / $1,905.46 / $6,760.83	Professional		$229.09	$1,905.46	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $2,884.03 / $10,232.93	Professional	50	$346.74	$2,884.03	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $954.99 / $5,888.44	Professional		$234.42	$954.99	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,311.31 / $5,754.40	Facility		$173.78	$3,311.31	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $4,677.35	Professional		$302.00	$467.74	$4,677.35
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $707.95 / $7,079.46	Professional	50	$457.09	$707.95	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $4,073.80 / $8,709.64	Facility		$173.78	$4,073.80	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $11,748.98	Professional		$1,949.84	$5,011.87	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,737.80 / $5,370.32	Professional		$239.88	$1,737.80	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $9,120.11	Facility		$5,495.41	$5,495.41	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $2,884.03 / $19,498.45	Professional		$194.98	$2,884.03	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $10,000.00	Professional		$602.56	$1,000.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,479.11 / $7,079.46	Professional		$177.83	$1,479.11	$7,079.46