Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,454.71 / $2,454.71	Facility		$1,071.52	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,071.52	Professional		$630.96	$741.31	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $1,122.02 / $4,168.69	Professional		$10.23	$1,122.02	$4,168.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,818.38	Professional		$1,023.29	$1,348.96	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,090.30 / $5,248.07	Facility		$537.03	$3,090.30	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $4,265.80	Facility		$537.03	$741.31	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,621.81	Professional		$446.68	$537.03	$1,621.81
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 $1,148.15 / $2,089.30 / $2,951.21	Professional		$1,148.15	$2,089.30	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,265.80	Facility		$1,778.28	$1,778.28	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $724.44	Facility		$446.68	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,737.80	Professional		$380.19	$537.03	$1,737.80