Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,230.27 / $6,309.57	Facility		$125.89	$1,230.27	$6,309.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $489.78	Professional		$64.57	$131.83	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $537.03 / $549.54	Professional	50	$537.03	$537.03	$549.54
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 $87.10 / $151.36 / $331.13	Professional		$87.10	$151.36	$331.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $223.87 / $489.78	Professional	50	$144.54	$223.87	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $79.43 / $112.20	Facility		$66.07	$79.43	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $165.96	Professional		$125.89	$125.89	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $707.95	Facility		$363.08	$416.87	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $275.42 / $616.60	Professional		$112.20	$275.42	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $3,162.28	Facility		$67.61	$141.25	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $371.54	Professional		$128.82	$213.80	$371.54
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $323.59 / $549.54	Professional	50	$190.55	$323.59	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $173.78 / $3,311.31	Facility		$67.61	$173.78	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $1,445.44	Professional		$125.89	$239.88	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $512.86	Professional		$128.82	$245.47	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,691.53	Facility		$977.24	$1,819.70	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $549.54 / $1,513.56	Professional		$144.54	$549.54	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $794.33	Professional		$234.42	$407.38	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $416.87	Professional		$75.86	$154.88	$416.87