Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1,380.38 / $10,232.93	Facility		$0.95	$1,380.38	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $616.60	Professional		$95.50	$186.21	$616.60
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 $151.36 / $309.03 / $630.96	Professional		$151.36	$309.03	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $125.89 / $138.04	Facility		$102.33	$125.89	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $194.98	Professional		$147.91	$158.49	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $794.33	Facility		$426.58	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $478.63	Professional		$120.23	$269.15	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $302.00 / $3,311.31	Facility		$107.15	$302.00	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $478.63	Professional		$204.17	$295.12	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $295.12 / $3,630.78	Facility		$107.15	$295.12	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $812.83	Professional		$147.91	$269.15	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $524.81	Professional		$190.55	$316.23	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $2,570.40	Facility		$562.34	$2,570.40	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $1,148.15	Professional		$112.20	$204.17	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $691.83	Professional		$199.53	$467.74	$691.83
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 $112.20 / $204.17 / $537.03	Professional		$112.20	$204.17	$537.03