Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $3,090.30	Facility		$691.83	$954.99	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.95 / $0.95 / $0.95	Facility	50	$0.95	$0.95	$0.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,047.13	Professional		$446.68	$602.56	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $478.63 / $2,238.72	Professional	50	$416.87	$478.63	$2,238.72
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 $562.34 / $891.25 / $2,398.83	Professional		$562.34	$891.25	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $1,348.96 / $3,548.13	Professional	50	$851.14	$1,348.96	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,951.21	Facility		$1,584.89	$1,819.70	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,258.93 / $2,884.03	Professional		$537.03	$1,258.93	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $891.25 / $3,981.07	Facility		$512.86	$891.25	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,621.81	Professional		$1,000.00	$1,258.93	$1,621.81
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,479.11 / $1,905.46 / $2,398.83	Professional	50	$1,479.11	$1,905.46	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $954.99 / $8,128.31	Facility		$537.03	$954.99	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $4,786.30	Professional		$588.84	$1,122.02	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,288.25 / $2,041.74	Professional		$645.65	$1,288.25	$2,041.74
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 $489.78 / $2,089.30 / $4,786.30	Professional		$489.78	$2,089.30	$4,786.30
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 $2,089.30 / $4,466.84 / $5,754.40	Professional		$2,089.30	$4,466.84	$5,754.40
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 $478.63 / $870.96 / $2,290.87	Professional		$478.63	$870.96	$2,290.87