Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,862.09 / $3,090.30	Facility		$302.00	$1,862.09	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $870.96 / $1,621.81	Professional		$144.54	$870.96	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional	50	$4,265.80	$4,265.80	$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 $239.88 / $1,023.29 / $3,715.35	Professional		$239.88	$1,023.29	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $1,513.56 / $5,623.41	Professional	50	$363.08	$1,513.56	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $3,311.31	Professional		$239.88	$602.56	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,905.46 / $4,265.80	Facility		$177.83	$1,905.46	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $2,691.53	Professional		$316.23	$478.63	$2,691.53
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $724.44 / $3,981.07	Professional	50	$478.63	$724.44	$3,981.07
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 $1,023.29 / $1,862.09 / $4,677.35	Professional		$1,023.29	$1,862.09	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,000.00 / $3,090.30	Professional		$251.19	$1,000.00	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,466.84	Facility		$3,019.95	$3,019.95	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,659.59 / $6,456.54	Professional		$199.53	$1,659.59	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,570.40 / $5,623.41	Professional		$794.33	$2,570.40	$5,623.41
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 / $851.14 / $3,630.78	Professional		$169.82	$851.14	$3,630.78