Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,202.26 / $2,137.96	Facility		$467.74	$1,202.26	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $707.95	Professional		$416.87	$416.87	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $1,479.11	Professional		$141.25	$165.96	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $1,023.29	Facility		$416.87	$630.96	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $588.84	Professional		$416.87	$457.09	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,698.24	Facility		$912.01	$1,202.26	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,288.25	Professional		$478.63	$724.44	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,737.80 / $2,630.27	Facility		$416.87	$1,737.80	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,754.23	Professional		$2,511.89	$2,511.89	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $2,137.96	Facility		$416.87	$588.84	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $1,412.54	Professional		$190.55	$239.88	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,380.38	Professional		$676.08	$977.24	$1,380.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $1,995.26	Facility		$831.76	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,659.59 / $2,089.30	Professional		$602.56	$1,659.59	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $891.25	Professional		$302.00	$302.00	$891.25
Security Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,023.29 / $2,290.87	Professional		$302.00	$1,023.29	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $501.19	Facility		$331.13	$331.13	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $645.65	Professional		$173.78	$239.88	$645.65