Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,137.96 / $2,137.96	Facility		$933.25	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $812.83	Professional		$537.03	$630.96	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $933.25 / $3,019.95	Professional		$309.03	$933.25	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,981.07	Facility		$2,137.96	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,398.83	Professional		$891.25	$1,148.15	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,691.53 / $4,466.84	Facility		$467.74	$2,691.53	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $3,630.78	Facility		$467.74	$724.44	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $1,380.38	Professional		$389.05	$467.74	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $2,570.40	Professional		$1,000.00	$1,778.28	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,630.78	Facility		$1,548.82	$1,548.82	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $5,888.44	Professional		$2,238.72	$4,168.69	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $933.25	Facility		$616.60	$616.60	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $1,479.11	Professional		$323.59	$467.74	$1,479.11