Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $977.24 / $2,089.30	Facility		$177.83	$977.24	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $562.34	Professional		$77.62	$208.93	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $229.09 / $1,096.48	Professional	50	$128.82	$229.09	$1,096.48
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 $123.03 / $199.53 / $446.68	Professional		$123.03	$199.53	$446.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $295.12 / $676.08	Professional	50	$186.21	$295.12	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $1,174.90	Facility		$630.96	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $380.19 / $1,047.13	Professional		$141.25	$380.19	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $234.42 / $3,162.28	Facility		$81.28	$234.42	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $616.60	Professional		$158.49	$269.15	$616.60
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $407.38 / $912.01	Professional	50	$234.42	$407.38	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $239.88 / $3,311.31	Facility		$83.18	$239.88	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $1,995.26	Professional		$208.93	$371.54	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $794.33	Professional		$147.91	$354.81	$794.33
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 $162.18 / $1,047.13 / $1,995.26	Professional		$162.18	$1,047.13	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $549.54 / $1,348.96	Professional		$234.42	$549.54	$1,348.96
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 $89.13 / $239.88 / $707.95	Professional		$89.13	$239.88	$707.95