Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,202.26 / $17,378.01	Facility		$89.13	$1,202.26	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $371.54	Professional		$83.18	$123.03	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $512.86	Professional		$114.82	$229.09	$512.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $338.84 / $758.58	Professional	50	$169.82	$338.84	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $436.52	Professional		$131.83	$269.15	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $199.53 / $3,715.35	Facility		$85.11	$199.53	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $354.81	Professional		$181.97	$245.47	$354.81
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $371.54 / $537.03	Professional	50	$269.15	$371.54	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $4,168.69	Facility		$85.11	$234.42	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $891.25	Professional		$123.03	$234.42	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $416.87	Professional		$141.25	$257.04	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,659.59 / $1,659.59	Facility		$251.19	$1,659.59	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $269.15 / $870.96	Professional		$109.65	$269.15	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $588.84	Professional		$229.09	$407.38	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $436.52	Professional		$95.50	$169.82	$436.52