Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,174.90 / $1,905.46	Facility		$100.00	$1,174.90	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $363.08 / $1,071.52	Professional		$97.72	$363.08	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $323.59 / $3,630.78	Professional	50	$138.04	$323.59	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $660.69 / $2,137.96	Professional		$162.18	$660.69	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $977.24 / $3,235.94	Professional	50	$234.42	$977.24	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,019.95	Facility		$1,621.81	$1,862.09	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $478.63 / $2,187.76	Professional		$158.49	$478.63	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,202.26 / $3,801.89	Facility		$114.82	$1,202.26	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $1,584.89	Professional		$208.93	$331.13	$1,584.89
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $501.19 / $2,398.83	Professional	50	$316.23	$501.19	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,238.72 / $4,786.30	Facility		$114.82	$2,238.72	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $2,754.23	Professional		$524.81	$912.01	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $630.96 / $1,905.46	Professional		$169.82	$630.96	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,495.41	Facility		$3,715.35	$3,715.35	$5,495.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,047.13 / $4,073.80	Professional		$134.90	$1,047.13	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,238.72 / $3,548.13	Professional		$575.44	$2,238.72	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $501.19 / $1,995.26	Professional		$117.49	$501.19	$1,995.26