Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $81.28	Facility		$28.84	$38.90	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $117.49	Professional		$18.20	$33.11	$117.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.18 / $67.61 / $275.42	Professional	50	$28.18	$67.61	$275.42
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 $32.36 / $45.71 / $165.96	Professional		$32.36	$45.71	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $67.61 / $251.19	Professional	50	$47.86	$67.61	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $93.33	Facility		$50.12	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $109.65	Professional		$26.92	$52.48	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $54.95 / $3,548.13	Facility		$21.38	$54.95	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $66.07	Professional		$38.90	$50.12	$66.07
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $75.86 / $100.00	Professional	50	$58.88	$75.86	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $63.10 / $1,778.28	Facility		$21.38	$63.10	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $645.65	Professional		$32.36	$91.20	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $66.07	Professional		$29.51	$44.67	$66.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,288.25 / $1,288.25	Facility		$93.33	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $660.69	Professional		$35.48	$79.43	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $229.09	Professional		$109.65	$181.97	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $134.90	Professional		$26.92	$57.54	$134.90