Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,778.28 / $5,495.41	Facility		$478.63	$1,778.28	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	50	$11,481.54	$11,481.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $1,000.00	Professional		$123.03	$269.15	$1,000.00
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 Low / Median / High Price $128.82 / $251.19 / $645.65	Professional		$128.82	$251.19	$645.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $616.60	Facility		$331.13	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $467.74	Professional		$208.93	$407.38	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,630.27 / $5,128.61	Facility		$131.83	$2,630.27	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $398.11	Professional		$229.09	$323.59	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,318.26 / $3,548.13	Facility		$131.83	$1,318.26	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $630.96	Professional		$144.54	$245.47	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $512.86	Professional		$186.21	$338.84	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $851.14	Facility		$331.13	$331.13	$851.14
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $33.11 / $33.11 / $85.11	Facility	AS	$33.11	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $645.65 / $954.99	Professional		$239.88	$645.65	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $954.99	Professional		$537.03	$707.95	$954.99
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
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $537.03	Professional		$128.82	$204.17	$537.03