Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $1,905.46	Facility		$102.33	$144.54	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $158.49	Professional		$64.57	$85.11	$158.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	50	$165.96	$165.96	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $323.59	Professional		$79.43	$134.90	$323.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $199.53 / $501.19	Professional	50	$120.23	$199.53	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $407.38	Facility		$218.78	$257.04	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $302.00	Professional		$79.43	$186.21	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $3,548.13	Facility		$77.62	$123.03	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $229.09	Professional		$144.54	$186.21	$229.09
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $281.84 / $338.84	Professional	50	$218.78	$281.84	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $5,248.07	Facility		$77.62	$125.89	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $616.60	Professional		$83.18	$181.97	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $275.42	Professional		$95.50	$181.97	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,951.21 / $2,951.21	Facility		$181.97	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $295.12 / $602.56	Professional		$74.13	$295.12	$602.56
Security Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $676.08 / $812.83	Professional		$302.00	$676.08	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $331.13	Professional		$70.79	$125.89	$331.13