Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,412.54 / $1,412.54	Facility		$616.60	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $537.03	Professional		$338.84	$407.38	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $1,778.28	Professional		$144.54	$169.82	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,584.89	Professional		$588.84	$758.58	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,778.28 / $3,019.95	Facility		$309.03	$1,778.28	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $2,454.71	Facility		$309.03	$457.09	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $912.01	Professional		$257.04	$309.03	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $512.86	Professional		$257.04	$257.04	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,698.24	Professional		$660.69	$1,174.90	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,454.71	Facility		$1,023.29	$1,023.29	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $2,818.38	Professional		$2,691.53	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $407.38	Facility		$257.04	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $1,000.00	Professional		$213.80	$309.03	$1,000.00