Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $489.78 / $17,782.79	Facility		$141.25	$489.78	$17,782.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $6,309.57 / $6,309.57	Facility	50	$2,041.74	$6,309.57	$6,309.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $407.38 / $1,348.96	Professional	50	$186.21	$407.38	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $549.54 / $1,548.82	Professional	50	$251.19	$549.54	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $154.88 / $213.80	Facility		$151.36	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $1,174.90	Facility		$630.96	$724.44	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $281.84 / $3,162.28	Facility		$131.83	$281.84	$3,162.28
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $575.44 / $1,047.13	Professional	50	$323.59	$575.44	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $295.12 / $1,513.56	Facility		$131.83	$295.12	$1,513.56
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	50	$660.69	$660.69	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $912.01	Professional		$204.17	$398.11	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $724.44 / $724.44	Facility		$288.40	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84