Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $331.13 / $1,905.46	Facility		$100.00	$331.13	$1,905.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	50	$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $426.58	Professional		$100.00	$158.49	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $676.08 / $1,621.81	Professional	50	$213.80	$676.08	$1,621.81
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 $144.54 / $218.78 / $512.86	Professional		$144.54	$218.78	$512.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $331.13 / $776.25	Professional	50	$229.09	$331.13	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $794.33	Facility		$426.58	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $724.44	Professional		$173.78	$407.38	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $3,162.28	Facility		$109.65	$213.80	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $436.52	Professional		$194.98	$295.12	$436.52
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $436.52 / $660.69	Professional	50	$295.12	$436.52	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $218.78 / $3,630.78	Facility		$117.49	$218.78	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $1,318.26	Professional		$186.21	$338.84	$1,318.26
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 $177.83 / $309.03 / $524.81	Professional		$177.83	$309.03	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $660.69	Facility		$331.13	$331.13	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $501.19 / $1,318.26	Professional		$204.17	$501.19	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $933.25	Professional		$512.86	$630.96	$933.25
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 $125.89 / $229.09 / $602.56	Professional		$125.89	$229.09	$602.56