Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $165.96 / $1,905.46	Facility		$40.74	$165.96	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $251.19	Professional		$41.69	$81.28	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $363.08 / $691.83	Professional	50	$234.42	$363.08	$691.83
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 $64.57 / $114.82 / $302.00	Professional		$64.57	$114.82	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $173.78 / $446.68	Professional	50	$97.72	$173.78	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $407.38	Facility		$218.78	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $371.54	Professional		$83.18	$173.78	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $102.33 / $3,162.28	Facility		$48.98	$102.33	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $251.19	Professional		$81.28	$141.25	$251.19
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $213.80 / $371.54	Professional	50	$123.03	$213.80	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $1,513.56	Facility		$51.29	$109.65	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $1,023.29	Professional		$91.20	$173.78	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $275.42	Professional		$75.86	$141.25	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,288.25 / $1,288.25	Facility		$346.74	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $489.78 / $1,023.29	Professional		$93.33	$489.78	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $478.63	Professional		$257.04	$371.54	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $295.12	Professional		$60.26	$125.89	$295.12