Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,905.46 / $4,677.35	Facility		$79.43	$1,905.46	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $1,071.52 / $2,344.23	Professional		$53.70	$1,071.52	$2,344.23
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 $81.28 / $154.88 / $1,380.38	Professional		$81.28	$154.88	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $239.88 / $2,089.30	Professional	50	$128.82	$239.88	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $190.55 / $4,073.80	Professional		$72.44	$190.55	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $2,041.74 / $9,772.37	Facility		$52.48	$2,041.74	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $3,548.13	Professional		$95.50	$181.97	$3,548.13
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $275.42 / $5,248.07	Professional	50	$141.25	$275.42	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $2,290.87 / $5,623.41	Facility		$52.48	$2,290.87	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,019.95 / $8,912.51	Professional		$1,445.44	$3,019.95	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $1,412.54 / $4,168.69	Professional		$66.07	$1,412.54	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $3,890.45 / $3,890.45	Facility		$114.82	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $2,511.89 / $8,912.51	Professional		$74.13	$2,511.89	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $5,370.32 / $10,715.19	Professional		$338.84	$5,370.32	$10,715.19
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 $64.57 / $1,202.26 / $5,011.87	Professional		$64.57	$1,202.26	$5,011.87