Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,258.93 / $1,258.93	Facility		$549.54	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $549.54	Professional		$323.59	$380.19	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.57 / $1,584.89	Professional		$2.19	$2.57	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Facility		$1,258.93	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,445.44	Professional		$524.81	$691.83	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,584.89 / $2,691.53	Facility		$275.42	$1,584.89	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $2,187.76	Facility		$275.42	$436.52	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $831.76	Professional		$229.09	$275.42	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $457.09	Professional		$85.11	$85.11	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,513.56	Professional		$588.84	$1,071.52	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,187.76	Facility		$912.01	$912.01	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,511.89	Professional		$2,398.83	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $549.54	Facility		$371.54	$371.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $891.25	Professional		$194.98	$275.42	$891.25