Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $1,905.46	Facility		$177.83	$275.42	$1,905.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	50	$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $363.08	Professional		$112.20	$147.91	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $239.88 / $660.69	Professional	50	$151.36	$239.88	$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 $125.89 / $229.09 / $562.34	Professional		$125.89	$229.09	$562.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $338.84 / $831.76	Professional	50	$190.55	$338.84	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $676.08	Facility		$354.81	$416.87	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $489.78	Professional		$125.89	$295.12	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $3,548.13	Facility		$109.65	$204.17	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $380.19	Professional		$234.42	$316.23	$380.19
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $478.63 / $562.34	Professional	50	$354.81	$478.63	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $1,778.28	Facility		$109.65	$208.93	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $1,202.26	Professional		$134.90	$288.40	$1,202.26
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	50	$524.81	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $446.68	Professional		$165.96	$309.03	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,630.27 / $2,630.27	Facility		$316.23	$2,630.27	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $1,202.26	Professional		$125.89	$478.63	$1,202.26
Security Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,148.15 / $1,318.26	Professional		$512.86	$1,148.15	$1,318.26
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 $112.20 / $208.93 / $524.81	Professional		$112.20	$208.93	$524.81