Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,187.76 / $8,317.64	Facility		$891.25	$2,187.76	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.95 / $5,248.07 / $12,302.69	Facility	50	$0.95	$5,248.07	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,621.81	Professional		$575.44	$794.33	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $1,071.52 / $2,951.21	Professional	50	$831.76	$1,071.52	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $3,090.30	Professional		$724.44	$1,148.15	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,071.52 / $1,737.80 / $4,570.88	Professional	50	$1,071.52	$1,737.80	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,715.35	Facility		$1,995.26	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,621.81 / $3,548.13	Professional		$691.83	$1,621.81	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $6,456.54	Facility		$660.69	$1,174.90	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,041.74	Professional		$1,288.25	$1,584.89	$2,041.74
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,905.46 / $2,398.83 / $3,019.95	Professional	50	$1,905.46	$2,398.83	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $8,128.31	Facility		$676.08	$1,202.26	$8,128.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	50	$4,073.80	$4,073.80	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $7,244.36	Professional		$741.31	$1,445.44	$7,244.36
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,819.70 / $1,819.70 / $1,995.26	Professional	50	$1,819.70	$1,819.70	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,621.81 / $2,570.40	Professional		$831.76	$1,621.81	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $5,754.40	Facility		$3,981.07	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,691.53 / $7,244.36	Professional		$630.96	$2,691.53	$7,244.36
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $7,244.36	Professional		$2,691.53	$5,754.40	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,096.48 / $2,951.21	Professional		$602.56	$1,096.48	$2,951.21