Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $363.08 / $12,302.69	Facility		$134.90	$363.08	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $676.08	Professional		$128.82	$223.87	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $977.24	Professional		$234.42	$446.68	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $199.53	Facility		$151.36	$186.21	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $302.00	Professional		$223.87	$245.47	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $1,230.27	Facility		$660.69	$776.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $407.38 / $741.31	Professional		$177.83	$407.38	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $446.68 / $3,311.31	Facility		$158.49	$446.68	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $724.44	Professional		$295.12	$446.68	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $446.68 / $1,737.80	Facility		$162.18	$446.68	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $1,202.26	Professional		$229.09	$436.52	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $794.33	Professional		$263.03	$457.09	$794.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,187.76 / $2,187.76	Facility		$602.56	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $1,778.28	Professional		$162.18	$309.03	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $691.83 / $1,071.52	Professional		$302.00	$691.83	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $812.83	Professional		$162.18	$309.03	$812.83