Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $199.53 / $1,905.46	Facility		$50.12	$199.53	$1,905.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $2,570.40 / $4,073.80	Facility	50	$2,570.40	$2,570.40	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $316.23	Professional		$52.48	$97.72	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $446.68 / $1,548.82	Professional	50	$181.97	$446.68	$1,548.82
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 $79.43 / $141.25 / $346.74	Professional		$79.43	$141.25	$346.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $213.80 / $524.81	Professional	50	$120.23	$213.80	$524.81
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 $100.00 / $213.80 / $446.68	Professional		$100.00	$213.80	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $123.03 / $3,162.28	Facility		$58.88	$123.03	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $269.15	Professional		$100.00	$173.78	$269.15
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $257.04 / $407.38	Professional	50	$151.36	$257.04	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $128.82 / $3,311.31	Facility		$58.88	$128.82	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $1,096.48	Professional		$117.49	$229.09	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $331.13	Professional		$95.50	$173.78	$331.13
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 $112.20 / $616.60 / $1,096.48	Professional		$112.20	$616.60	$1,096.48
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 $2,344.23 / $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 / $371.54	Professional		$75.86	$154.88	$371.54