Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $776.25 / $2,041.74	Facility		$131.83	$776.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $389.05	Professional		$58.88	$138.04	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
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 $93.33 / $144.54 / $346.74	Professional		$93.33	$144.54	$346.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $213.80 / $524.81	Professional	50	$138.04	$213.80	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $501.19 / $812.83	Facility		$436.52	$501.19	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $724.44	Professional		$107.15	$275.42	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $3,162.28	Facility		$61.66	$158.49	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $426.58	Professional		$117.49	$234.42	$426.58
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $354.81 / $645.65	Professional	50	$177.83	$354.81	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $162.18 / $3,311.31	Facility		$61.66	$162.18	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $1,230.27	Professional		$141.25	$251.19	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $602.56	Professional		$120.23	$275.42	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $2,691.53	Facility		$1,819.70	$2,691.53	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $660.69 / $1,230.27	Professional		$134.90	$660.69	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $954.99	Professional		$234.42	$398.11	$954.99
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 / $173.78 / $467.74	Professional		$75.86	$173.78	$467.74