Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,890.45 / $10,964.78	Facility		$302.00	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,691.53 / $4,897.79	Professional		$251.19	$2,691.53	$4,897.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional	50	$9,549.93	$9,549.93	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $3,630.78 / $12,882.50	Professional		$407.38	$3,630.78	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $5,495.41 / $19,498.45	Professional	50	$616.60	$5,495.41	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $57.54 / $512.86 / $1,819.70	Professional	AS	$57.54	$512.86	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $15,848.93	Facility		$8,511.38	$10,000.00	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,698.24 / $11,220.18	Professional		$416.87	$1,698.24	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $4,265.80 / $6,918.31	Facility		$309.03	$4,265.80	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $8,912.51	Professional		$537.03	$831.76	$8,912.51
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $1,258.93 / $13,182.57	Professional	50	$812.83	$1,258.93	$13,182.57
DeanCare Facility/Professional Professional Modifier AS Low / Median / High Price $75.86 / $117.49 / $1,230.27	Professional	AS	$75.86	$117.49	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $6,309.57 / $13,803.84	Facility		$309.03	$6,309.57	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $17,782.79	Professional		$3,715.35	$6,918.31	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $3,311.31 / $10,232.93	Professional		$416.87	$3,311.31	$10,232.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $17,782.79	Facility		$12,022.64	$12,022.64	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $5,495.41 / $21,379.62	Professional		$338.84	$5,495.41	$21,379.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $8,709.64 / $18,620.87	Professional		$794.33	$8,709.64	$18,620.87
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 $295.12 / $2,818.38 / $13,489.63	Professional		$295.12	$2,818.38	$13,489.63