Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,089.30 / $2,089.30	Facility		$912.01	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $912.01	Professional		$537.03	$616.60	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $2,238.72	Professional		$257.04	$302.00	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,398.83	Professional		$870.96	$1,096.48	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,630.27 / $4,466.84	Facility		$537.03	$2,630.27	$4,466.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $707.95 / $3,630.78	Facility		$380.19	$707.95	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,380.38	Professional		$380.19	$457.09	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,511.89	Professional		$977.24	$1,737.80	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,630.78	Facility		$1,513.56	$1,513.56	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,168.69 / $5,754.40	Professional		$2,187.76	$4,168.69	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $912.01	Facility		$602.56	$602.56	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,479.11	Professional		$316.23	$457.09	$1,479.11