Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $288.40 / $1,905.46	Facility		$83.18	$288.40	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $295.12 / $891.25	Professional		$114.82	$295.12	$891.25
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 $154.88 / $269.15 / $660.69	Professional		$154.88	$269.15	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $123.03	Facility		$95.50	$114.82	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $177.83	Professional		$125.89	$138.04	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $426.58 / $691.83	Facility		$371.54	$426.58	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $416.87	Professional		$158.49	$263.03	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $281.84 / $4,897.79	Facility		$102.33	$281.84	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $426.58	Professional		$181.97	$269.15	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $281.84 / $1,659.59	Facility		$107.15	$281.84	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $870.96	Professional		$151.36	$331.13	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $501.19	Professional		$173.78	$295.12	$501.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,288.25 / $1,288.25	Facility		$257.04	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $1,348.96	Professional		$134.90	$257.04	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $602.56	Professional		$323.59	$426.58	$602.56
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 $120.23 / $234.42 / $562.34	Professional		$120.23	$234.42	$562.34