Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $229.09 / $363.08	Facility		$58.88	$229.09	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $158.49	Professional		$28.18	$50.12	$158.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $42.66 / $70.79	Professional	50	$42.66	$42.66	$70.79
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 $42.66 / $63.10 / $181.97	Professional		$42.66	$63.10	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $93.33 / $269.15	Professional	50	$64.57	$93.33	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $141.25	Facility		$75.86	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $107.15	Professional		$34.67	$70.79	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.88 / $3,548.13	Facility		$32.36	$58.88	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $85.11	Professional		$52.48	$72.44	$85.11
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $107.15 / $128.82	Professional	50	$79.43	$107.15	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $69.18 / $1,778.28	Facility		$32.36	$69.18	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $102.33 / $831.76	Professional		$45.71	$102.33	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $97.72	Professional		$38.90	$64.57	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,951.21 / $2,951.21	Facility		$117.49	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $131.83 / $831.76	Professional		$46.77	$131.83	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $281.84	Professional		$151.36	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $158.49	Professional		$33.88	$63.10	$158.49