Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,995.26 / $1,995.26	Facility		$870.96	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $758.58	Professional		$501.19	$588.84	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $2,511.89	Professional		$229.09	$229.09	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,715.35	Facility		$1,995.26	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,238.72	Professional		$831.76	$1,023.29	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,511.89 / $4,168.69	Facility		$436.52	$2,511.89	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $3,388.44	Facility		$436.52	$676.08	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $1,288.25	Professional		$363.08	$436.52	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $724.44 / $1,071.52	Professional		$85.11	$724.44	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $2,398.83	Professional		$933.25	$1,659.59	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,388.44	Facility		$1,445.44	$1,445.44	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $870.96	Facility		$575.44	$575.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,380.38	Professional		$302.00	$436.52	$1,380.38