Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,778.28 / $6,456.54	Facility		$524.81	$1,778.28	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $2,238.72	Professional		$302.00	$549.54	$2,238.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $2,570.40 / $6,606.93	Professional	50	$512.86	$2,570.40	$6,606.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $2,344.23	Professional		$426.58	$794.33	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,202.26 / $3,548.13	Professional	50	$645.65	$1,202.26	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,995.26	Facility		$1,071.52	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,479.11	Professional		$512.86	$891.25	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,348.96 / $5,754.40	Facility		$363.08	$1,348.96	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,230.27	Professional		$602.56	$776.25	$1,230.27
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $912.01 / $1,174.90 / $1,862.09	Professional	50	$912.01	$1,174.90	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $4,265.80 / $11,481.54	Facility		$363.08	$4,265.80	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,258.93 / $3,630.78	Professional		$512.86	$1,258.93	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $1,348.96	Professional		$32.36	$50.12	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,445.44	Professional		$501.19	$851.14	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,951.21 / $2,951.21	Facility		$794.33	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,089.30 / $3,630.78	Professional		$478.63	$2,089.30	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $3,162.28	Professional		$1,230.27	$2,398.83	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $870.96 / $2,041.74	Professional		$380.19	$870.96	$2,041.74