Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $346.74 / $8,511.38	Facility		$114.82	$346.74	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $831.76	Professional		$114.82	$251.19	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $9,332.54	Facility		$3,311.31	$4,897.79	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $870.96	Professional		$199.53	$371.54	$870.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $562.34 / $1,318.26	Professional	50	$295.12	$562.34	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $707.95 / $1,148.15	Facility		$616.60	$707.95	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $776.25	Professional		$204.17	$398.11	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,412.54 / $7,413.10	Facility		$134.90	$1,412.54	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $630.96	Professional		$263.03	$398.11	$630.96
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $588.84 / $933.25	Professional	50	$398.11	$588.84	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,187.76 / $5,754.40	Facility		$134.90	$2,187.76	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $6,456.54	Professional		$223.87	$616.60	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $741.31	Professional		$208.93	$380.19	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,548.13 / $3,548.13	Facility		$549.54	$3,548.13	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $489.78 / $6,456.54	Professional		$169.82	$489.78	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,288.25	Professional		$467.74	$691.83	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $6,456.54	Facility		$2,884.03	$4,073.80	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $912.01	Professional		$154.88	$309.03	$912.01