Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $2,630.27	Facility		$1,148.15	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,148.15	Professional		$660.69	$776.25	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,630.27	Facility		$2,041.74	$2,570.40	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $3,311.31	Professional		$288.40	$338.84	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $4,897.79	Facility		$2,630.27	$3,019.95	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,951.21	Professional		$1,096.48	$1,348.96	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,311.31 / $5,495.41	Facility		$660.69	$3,311.31	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $4,466.84	Facility		$501.19	$891.25	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,698.24	Professional		$478.63	$575.44	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $1,412.54	Professional		$54.95	$85.11	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,162.28	Professional		$1,230.27	$2,187.76	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,466.84	Facility		$1,905.46	$1,905.46	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $7,244.36	Professional		$2,754.23	$5,128.61	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,148.15	Facility		$758.58	$758.58	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,819.70	Professional		$398.11	$575.44	$1,819.70