Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $8,317.64	Facility		$645.65	$1,122.02	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility	50	$5,888.44	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,071.52	Professional		$416.87	$588.84	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $1,584.89 / $6,309.57	Professional	50	$77.62	$1,584.89	$6,309.57
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 $489.78 / $831.76 / $2,187.76	Professional		$489.78	$831.76	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $1,258.93 / $3,311.31	Professional	50	$724.44	$1,258.93	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,691.53	Facility		$1,445.44	$1,698.24	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,174.90 / $2,454.71	Professional		$501.19	$1,174.90	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $6,456.54	Facility		$501.19	$812.83	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,479.11	Professional		$933.25	$1,174.90	$1,479.11
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,412.54 / $1,737.80 / $2,238.72	Professional	50	$1,412.54	$1,737.80	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $8,128.31	Facility		$501.19	$891.25	$8,128.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	50	$2,754.23	$2,754.23	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $5,623.41	Professional		$512.86	$1,023.29	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $1,905.46	Professional		$602.56	$1,202.26	$1,905.46
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 $467.74 / $1,949.84 / $5,623.41	Professional		$467.74	$1,949.84	$5,623.41
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 $2,041.74 / $4,168.69 / $5,248.07	Professional		$2,041.74	$4,168.69	$5,248.07
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 $436.52 / $776.25 / $2,089.30	Professional		$436.52	$776.25	$2,089.30