Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,479.11 / $2,041.74	Facility		$363.08	$1,479.11	$2,041.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility	50	$6,760.83	$6,760.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $1,230.27	Professional		$229.09	$457.09	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $1,659.59 / $2,754.23	Professional	50	$660.69	$1,659.59	$2,754.23
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 $346.74 / $512.86 / $1,862.09	Professional		$346.74	$512.86	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $776.25 / $2,818.38	Professional	50	$524.81	$776.25	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,202.26	Professional		$288.40	$575.44	$1,202.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $645.65 / $3,981.07	Facility		$239.88	$645.65	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $724.44	Professional		$426.58	$575.44	$724.44
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $870.96 / $1,071.52	Professional	50	$645.65	$870.96	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $676.08 / $3,981.07	Facility		$239.88	$676.08	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $2,951.21	Professional		$512.86	$1,023.29	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $851.14	Professional		$295.12	$562.34	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,890.45 / $3,890.45	Facility		$562.34	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,258.93 / $2,951.21	Professional		$389.05	$1,258.93	$2,951.21
Security Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,388.44	Professional		$2,041.74	$2,398.83	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,677.35	Facility		$2,041.74	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $741.31 / $2,137.96	Professional		$354.81	$741.31	$2,137.96