Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $602.56 / $7,079.46	Facility		$257.04	$602.56	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $1,258.93	Professional		$194.98	$302.00	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $7,079.46	Facility		$1,584.89	$4,365.16	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $575.44 / $1,258.93	Professional		$302.00	$575.44	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $269.15	Facility		$208.93	$251.19	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $389.05	Professional		$281.84	$309.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,513.56	Facility		$812.83	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $812.83	Professional		$251.19	$489.78	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $602.56 / $3,715.35	Facility		$218.78	$602.56	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $912.01	Professional		$398.11	$588.84	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $602.56 / $4,168.69	Facility		$234.42	$602.56	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $1,659.59	Professional		$302.00	$537.03	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,047.13	Professional		$389.05	$645.65	$1,047.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,762.47 / $7,762.47	Facility		$2,754.23	$7,762.47	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $2,238.72	Professional		$251.19	$436.52	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $933.25 / $1,318.26	Professional		$501.19	$933.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $1,047.13	Professional		$239.88	$426.58	$1,047.13