Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $181.97 / $1,905.46	Facility		$131.83	$181.97	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $245.47	Professional		$89.13	$128.82	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $426.58	Professional		$117.49	$169.82	$426.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $257.04 / $645.65	Professional	50	$177.83	$257.04	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $436.52	Professional		$112.20	$257.04	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $3,548.13	Facility		$109.65	$181.97	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $331.13	Professional		$190.55	$245.47	$331.13
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $363.08 / $501.19	Professional	50	$288.40	$363.08	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $1,778.28	Facility		$109.65	$186.21	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $954.99	Professional		$128.82	$281.84	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $398.11	Professional		$131.83	$234.42	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Facility		$4,677.35	$6,918.31	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $407.38 / $977.24	Professional		$125.89	$407.38	$977.24
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $851.14 / $1,174.90	Professional		$416.87	$851.14	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $478.63	Professional		$107.15	$177.83	$478.63