Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $954.99 / $2,570.40	Facility		$91.20	$954.99	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $281.84	Professional		$56.23	$102.33	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $346.74 / $416.87	Professional	50	$75.86	$346.74	$416.87
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 $85.11 / $131.83 / $316.23	Professional		$85.11	$131.83	$316.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $199.53 / $478.63	Professional	50	$128.82	$199.53	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $512.86	Facility		$263.03	$309.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $446.68	Professional		$97.72	$229.09	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $125.89 / $3,162.28	Facility		$56.23	$125.89	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $269.15	Professional		$107.15	$177.83	$269.15
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $263.03 / $407.38	Professional	50	$162.18	$263.03	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $3,311.31	Facility		$57.54	$131.83	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $1,348.96	Professional		$123.03	$245.47	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $346.74	Professional		$102.33	$190.55	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,089.30	Facility		$758.58	$1,445.44	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $660.69 / $1,348.96	Professional		$112.20	$660.69	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $575.44	Professional		$234.42	$371.54	$575.44
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 $70.79 / $147.91 / $389.05	Professional		$70.79	$147.91	$389.05