Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $416.87	Facility		$120.23	$199.53	$416.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	50	$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $181.97	Professional		$77.62	$109.65	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $275.42 / $660.69	Professional	50	$138.04	$275.42	$660.69
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 $89.13 / $154.88 / $416.87	Professional		$89.13	$154.88	$416.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $229.09 / $630.96	Professional	50	$131.83	$229.09	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $489.78	Facility		$263.03	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $363.08	Professional		$107.15	$208.93	$363.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $3,548.13	Facility		$74.13	$147.91	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $269.15	Professional		$169.82	$213.80	$269.15
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $323.59 / $398.11	Professional	50	$251.19	$323.59	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $1,778.28	Facility		$74.13	$147.91	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $1,047.13	Professional		$102.33	$204.17	$1,047.13
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	50	$363.08	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $309.03	Professional		$112.20	$213.80	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,288.25 / $1,288.25	Facility		$208.93	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $346.74 / $1,047.13	Professional		$114.82	$346.74	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $776.25 / $954.99	Professional		$354.81	$776.25	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $371.54	Professional		$89.13	$154.88	$371.54