Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $724.44 / $6,309.57	Facility		$125.89	$724.44	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $602.56	Professional		$123.03	$229.09	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $831.76	Professional		$186.21	$380.19	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $186.21	Facility		$141.25	$169.82	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $245.47	Professional		$181.97	$194.98	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $1,000.00	Facility		$524.81	$616.60	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $588.84	Professional		$169.82	$331.13	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $407.38 / $3,311.31	Facility		$144.54	$407.38	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $588.84	Professional		$275.42	$407.38	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $407.38 / $3,630.78	Facility		$147.91	$407.38	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $1,122.02	Professional		$177.83	$354.81	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $660.69	Professional		$263.03	$426.58	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,041.74 / $2,041.74	Facility		$776.25	$2,041.74	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $1,445.44	Professional		$151.36	$269.15	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $645.65 / $851.14	Professional		$269.15	$645.65	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $660.69	Professional		$147.91	$257.04	$660.69