Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $2,041.74	Facility		$891.25	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $891.25	Professional		$524.81	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $2,630.27	Professional		$338.84	$338.84	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,890.45	Facility		$2,041.74	$2,398.83	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,344.23	Professional		$870.96	$1,071.52	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,570.40 / $4,365.16	Facility		$446.68	$2,570.40	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $3,548.13	Facility		$446.68	$707.95	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $1,348.96	Professional		$371.54	$446.68	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $1,122.02	Professional		$85.11	$85.11	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,454.71	Professional		$954.99	$1,737.80	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,548.13	Facility		$1,513.56	$1,513.56	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Facility		$602.56	$602.56	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,445.44	Professional		$316.23	$446.68	$1,445.44