Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $537.03 / $5,623.41	Facility		$93.33	$537.03	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $218.78 / $524.81	Professional		$85.11	$218.78	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $331.13 / $1,000.00	Professional		$123.03	$331.13	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Facility		$707.95	$831.76	$1,318.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $323.59 / $1,000.00	Professional		$114.82	$323.59	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $2,238.72	Facility		$91.20	$245.47	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $691.83	Professional		$158.49	$363.08	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $3,019.95	Facility		$91.20	$257.04	$3,019.95
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $562.34 / $1,949.84	Professional		$234.42	$562.34	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $371.54 / $954.99	Professional		$141.25	$371.54	$954.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $2,884.03	Facility		$1,949.84	$2,884.03	$2,884.03
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Facility	52	$1,548.82	$1,548.82	$2,290.87
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $389.05 / $389.05 / $575.44	Facility	53	$389.05	$389.05	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $575.44 / $1,862.09	Professional		$109.65	$575.44	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $1,348.96	Professional		$316.23	$478.63	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $616.60	Professional		$95.50	$251.19	$616.60