Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $1,905.46	Facility		$190.55	$263.03	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $398.11	Professional		$128.82	$190.55	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $478.63 / $1,258.93	Professional	50	$323.59	$478.63	$1,258.93
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 $154.88 / $245.47 / $691.83	Professional		$154.88	$245.47	$691.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $371.54 / $1,047.13	Professional	50	$229.09	$371.54	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $812.83	Facility		$436.52	$512.86	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $602.56	Professional		$186.21	$346.74	$602.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $3,548.13	Facility		$141.25	$245.47	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $446.68	Professional		$275.42	$346.74	$446.68
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $524.81 / $660.69	Professional	50	$416.87	$524.81	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $1,778.28	Facility		$141.25	$245.47	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $1,479.11	Professional		$181.97	$416.87	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $524.81	Professional		$177.83	$354.81	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,570.40 / $2,570.40	Facility		$616.60	$2,570.40	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $575.44 / $1,479.11	Professional		$204.17	$575.44	$1,479.11
Security Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,258.93 / $1,584.89	Professional		$575.44	$1,258.93	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $660.69	Professional		$154.88	$269.15	$660.69