Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $331.13 / $11,481.54	Facility		$125.89	$331.13	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $309.03 / $1,000.00	Professional		$138.04	$309.03	$1,000.00
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 / $426.58 / $1,000.00	Professional		$234.42	$426.58	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $186.21	Facility		$141.25	$173.78	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $323.59	Professional		$239.88	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Facility		$707.95	$831.76	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $398.11 / $794.33	Professional		$194.98	$398.11	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $416.87 / $3,311.31	Facility		$147.91	$416.87	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $776.25	Professional		$281.84	$467.74	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $416.87 / $1,737.80	Facility		$151.36	$416.87	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $1,122.02	Professional		$223.87	$457.09	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $851.14	Professional		$257.04	$457.09	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,584.89 / $1,584.89	Facility		$691.83	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $1,862.09	Professional		$173.78	$346.74	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $645.65 / $1,148.15	Professional		$281.84	$645.65	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $812.83	Professional		$158.49	$302.00	$812.83