Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $9,332.54	Facility		$741.31	$1,023.29	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,174.90	Professional		$478.63	$616.60	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,479.11 / $1,905.46 / $7,244.36	Professional	50	$1,479.11	$1,905.46	$7,244.36
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 $512.86 / $954.99 / $2,570.40	Professional		$512.86	$954.99	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $758.58 / $1,445.44 / $3,890.45	Professional	50	$758.58	$1,445.44	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,570.40	Facility		$1,380.38	$1,584.89	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,454.71	Professional		$588.84	$1,202.26	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $6,918.31	Facility		$549.54	$891.25	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,513.56	Professional		$912.01	$1,288.25	$1,513.56
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,380.38 / $1,905.46 / $2,290.87	Professional	50	$1,380.38	$1,905.46	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $3,981.07	Facility		$549.54	$912.01	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $3,801.89	Professional		$575.44	$1,122.02	$3,801.89
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	50	$912.01	$912.01	$912.01
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 $676.08 / $1,202.26 / $1,778.28	Professional		$676.08	$1,202.26	$1,778.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,981.07 / $3,981.07	Facility		$1,288.25	$3,981.07	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,862.09 / $3,801.89	Professional		$537.03	$1,862.09	$3,801.89
Security Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $5,011.87	Professional		$2,238.72	$4,786.30	$5,011.87
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 $512.86 / $912.01 / $2,137.96	Professional		$512.86	$912.01	$2,137.96