Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $446.68 / $870.96	Facility		$74.13	$446.68	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $109.65 / $234.42	Professional		$40.74	$109.65	$234.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $245.47 / $616.60	Professional	50	$245.47	$245.47	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $169.82 / $562.34	Professional		$69.18	$169.82	$562.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $257.04 / $831.76	Professional	50	$102.33	$257.04	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $575.44	Facility		$309.03	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $416.87	Professional		$67.61	$128.82	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $239.88 / $3,801.89	Facility		$42.66	$239.88	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $338.84	Professional		$87.10	$125.89	$338.84
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $190.55 / $512.86	Professional	50	$128.82	$190.55	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $616.60 / $1,778.28	Facility		$41.69	$616.60	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $281.84 / $676.08	Professional		$134.90	$281.84	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $416.87	Professional		$77.62	$162.18	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,288.25 / $1,288.25	Facility		$316.23	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $588.84 / $851.14	Professional		$67.61	$588.84	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $794.33	Professional		$208.93	$457.09	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $158.49 / $457.09	Professional		$56.23	$158.49	$457.09