Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $6,456.54	Facility		$977.24	$1,584.89	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,479.11	Professional		$630.96	$812.83	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Professional	50	$933.25	$933.25	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,585.78	Facility		$3,311.31	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $3,388.44	Professional		$758.58	$1,258.93	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,905.46 / $5,011.87	Professional	50	$1,122.02	$1,905.46	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,890.45	Facility		$2,089.30	$2,398.83	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,737.80 / $3,388.44	Professional		$724.44	$1,737.80	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $5,495.41	Facility		$676.08	$1,202.26	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,137.96	Professional		$1,348.96	$1,737.80	$2,137.96
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $2,041.74 / $2,630.27 / $3,235.94	Professional	50	$2,041.74	$2,630.27	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $8,128.31	Facility		$707.95	$1,318.26	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,659.59 / $5,754.40	Professional		$758.58	$1,659.59	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $2,691.53	Professional		$870.96	$1,698.24	$2,691.53
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 $691.83 / $2,818.38 / $5,623.41	Professional		$691.83	$2,818.38	$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 $2,951.21 / $6,309.57 / $7,585.78	Professional		$2,951.21	$6,309.57	$7,585.78
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 $645.65 / $1,174.90 / $3,090.30	Professional		$645.65	$1,174.90	$3,090.30