Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $457.09 / $741.31	Facility		$114.82	$457.09	$741.31
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $363.08	Professional		$97.72	$128.82	$363.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $102.33 / $309.03	Professional	52	$43.65	$102.33	$309.03
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 $112.20 / $204.17 / $501.19	Professional		$112.20	$204.17	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $630.96	Facility		$338.84	$398.11	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $380.19 / $575.44	Professional		$147.91	$380.19	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $3,162.28	Facility		$112.20	$173.78	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $338.84	Professional		$199.53	$275.42	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $1,659.59	Facility		$112.20	$177.83	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $954.99	Professional		$120.23	$208.93	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $457.09	Professional		$194.98	$323.59	$457.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $691.83	Facility		$169.82	$323.59	$691.83
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $257.04 / $257.04 / $549.54	Facility	52	$257.04	$257.04	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $933.25	Professional		$199.53	$467.74	$933.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $741.31	Professional		$354.81	$630.96	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $436.52	Professional		$109.65	$169.82	$436.52