Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,862.09 / $15,488.17	Facility		$457.09	$1,862.09	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $691.83	Professional		$204.17	$363.08	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $870.96 / $1,737.80	Professional	50	$114.82	$870.96	$1,737.80
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 $323.59 / $501.19 / $1,122.02	Professional		$323.59	$501.19	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $741.31 / $1,698.24	Professional	50	$489.78	$741.31	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,905.46	Facility		$1,023.29	$1,174.90	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $724.44 / $1,380.38	Professional		$323.59	$724.44	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $3,981.07	Facility		$245.47	$537.03	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,023.29	Professional		$478.63	$660.69	$1,023.29
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $1,000.00 / $1,548.82	Professional	50	$724.44	$1,000.00	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $575.44 / $8,128.31	Facility		$245.47	$575.44	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $870.96 / $3,801.89	Professional		$416.87	$870.96	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,230.27	Professional		$354.81	$676.08	$1,230.27
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 $346.74 / $1,000.00 / $3,890.45	Professional		$346.74	$1,000.00	$3,890.45
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 $1,000.00 / $2,137.96 / $3,630.78	Professional		$1,000.00	$2,137.96	$3,630.78
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 $251.19 / $524.81 / $1,548.82	Professional		$251.19	$524.81	$1,548.82