Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $158.49 / $1,905.46	Facility		$72.44	$158.49	$1,905.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	50	$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $263.03	Professional		$72.44	$125.89	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $524.81	Professional	50	$199.53	$346.74	$524.81
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 $114.82 / $173.78 / $416.87	Professional		$114.82	$173.78	$416.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $263.03 / $616.60	Professional	50	$169.82	$263.03	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $691.83	Facility		$354.81	$416.87	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $616.60	Professional		$125.89	$309.03	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $165.96 / $3,162.28	Facility		$79.43	$165.96	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $363.08	Professional		$141.25	$239.88	$363.08
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $354.81 / $549.54	Professional	50	$213.80	$354.81	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $3,630.78	Facility		$85.11	$177.83	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $1,000.00	Professional		$151.36	$269.15	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $489.78	Professional		$141.25	$263.03	$489.78
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 $147.91 / $363.08 / $954.99	Professional		$147.91	$363.08	$954.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $794.33	Professional		$371.54	$524.81	$794.33
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 $97.72 / $181.97 / $501.19	Professional		$97.72	$181.97	$501.19