Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,760.83 / $13,182.57	Facility		$616.60	$6,760.83	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,905.46	Professional		$371.54	$616.60	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $2,754.23	Professional		$512.86	$933.25	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $758.58 / $1,412.54 / $4,073.80	Professional	50	$758.58	$1,412.54	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Facility		$1,258.93	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,737.80	Professional		$588.84	$1,047.13	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,162.28 / $5,754.40	Facility		$436.52	$3,162.28	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,445.44	Professional		$741.31	$954.99	$1,445.44
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,445.44 / $2,187.76	Professional	50	$1,122.02	$1,445.44	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,265.80 / $11,481.54	Facility		$436.52	$4,265.80	$11,481.54
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility	50	$5,754.40	$5,754.40	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,479.11 / $4,073.80	Professional		$616.60	$1,479.11	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $1,659.59	Professional		$32.36	$50.12	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,737.80	Professional		$616.60	$1,047.13	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,951.21 / $2,951.21	Facility		$891.25	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,454.71 / $4,365.16	Professional		$588.84	$2,454.71	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $4,073.80	Professional		$1,513.56	$2,884.03	$4,073.80
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 $457.09 / $1,047.13 / $2,398.83	Professional		$457.09	$1,047.13	$2,398.83