Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $512.86 / $1,905.46	Facility		$109.65	$512.86	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $831.76	Professional		$114.82	$245.47	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $794.33 / $1,659.59	Professional	50	$169.82	$794.33	$1,659.59
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 $131.83 / $229.09 / $537.03	Professional		$131.83	$229.09	$537.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $338.84 / $812.83	Professional	50	$199.53	$338.84	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $776.25 / $1,258.93	Facility		$676.08	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $467.74 / $1,122.02	Professional		$194.98	$467.74	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $251.19 / $3,162.28	Facility		$114.82	$251.19	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $676.08	Professional		$223.87	$389.05	$676.08
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $575.44 / $1,000.00	Professional	50	$331.13	$575.44	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $251.19 / $3,311.31	Facility		$117.49	$251.19	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $1,862.09	Professional		$213.80	$446.68	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $870.96	Professional		$218.78	$407.38	$870.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $776.25 / $1,445.44	Facility		$346.74	$776.25	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,202.26 / $1,819.70	Professional		$229.09	$1,202.26	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $691.83 / $1,479.11	Professional		$125.89	$691.83	$1,479.11
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 $128.82 / $269.15 / $794.33	Professional		$128.82	$269.15	$794.33