Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,071.52 / $1,071.52	Facility		$467.74	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $467.74	Professional		$275.42	$323.59	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $1,202.26	Professional		$38.90	$45.71	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,995.26	Facility		$1,071.52	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,230.27	Professional		$446.68	$588.84	$1,230.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,348.96 / $2,290.87	Facility		$234.42	$1,348.96	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $1,862.09	Facility		$234.42	$354.81	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $707.95	Professional		$194.98	$234.42	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,288.25	Professional		$501.19	$891.25	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,862.09	Facility		$776.25	$776.25	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $467.74	Facility		$309.03	$309.03	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $758.58	Professional		$165.96	$234.42	$758.58