Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,548.82 / $10,715.19	Facility		$213.80	$1,548.82	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $1,778.28	Professional		$234.42	$457.09	$1,778.28
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 $407.38 / $724.44 / $1,659.59	Professional		$407.38	$724.44	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $316.23	Facility		$239.88	$295.12	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $524.81	Professional		$389.05	$416.87	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,137.96	Facility		$1,148.15	$1,318.26	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,288.25	Professional		$363.08	$676.08	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $724.44 / $4,897.79	Facility		$251.19	$724.44	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,258.93	Professional		$467.74	$758.58	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $707.95 / $1,778.28	Facility		$257.04	$707.95	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $2,041.74	Professional		$416.87	$741.31	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,380.38	Professional		$416.87	$741.31	$1,380.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,548.13 / $3,548.13	Facility		$1,258.93	$3,548.13	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $3,019.95	Professional		$309.03	$645.65	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,819.70	Professional		$501.19	$1,096.48	$1,819.70
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 $281.84 / $524.81 / $1,445.44	Professional		$281.84	$524.81	$1,445.44