Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $588.84 / $3,090.30	Facility		$177.83	$588.84	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $549.54	Professional		$144.54	$275.42	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,548.82 / $1,659.59 / $4,265.80	Professional	50	$1,548.82	$1,659.59	$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 $234.42 / $467.74 / $1,122.02	Professional		$234.42	$467.74	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $707.95 / $1,698.24	Professional	50	$354.81	$707.95	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $1,445.44	Facility		$776.25	$891.25	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $1,000.00	Professional		$239.88	$524.81	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $588.84 / $4,265.80	Facility		$177.83	$588.84	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $851.14	Professional		$316.23	$478.63	$851.14
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $724.44 / $1,258.93	Professional	50	$478.63	$724.44	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,754.23 / $5,754.40	Facility		$177.83	$2,754.23	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,202.26	Professional		$281.84	$478.63	$1,202.26
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 $251.19 / $457.09 / $1,000.00	Professional		$251.19	$457.09	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,174.90	Facility		$724.44	$724.44	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $478.63 / $2,041.74	Professional		$199.53	$478.63	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $891.25 / $1,737.80	Professional		$467.74	$891.25	$1,737.80
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 $169.82 / $363.08 / $1,023.29	Professional		$169.82	$363.08	$1,023.29