Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $10,471.29	Facility		$398.11	$954.99	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $512.86 / $1,737.80	Professional		$251.19	$512.86	$1,737.80
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 $467.74 / $851.14 / $1,862.09	Professional		$467.74	$851.14	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $338.84 / $371.54	Facility		$281.84	$338.84	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $575.44	Professional		$426.58	$467.74	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Facility		$1,258.93	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $794.33 / $1,412.54	Professional		$426.58	$794.33	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $831.76 / $4,897.79	Facility		$295.12	$831.76	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,380.38	Professional		$549.54	$851.14	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $831.76 / $1,778.28	Facility		$316.23	$831.76	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $2,691.53	Professional		$489.78	$831.76	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,513.56	Professional		$489.78	$870.96	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $2,187.76	Facility		$1,258.93	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $3,388.44	Professional		$380.19	$741.31	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $2,041.74	Professional		$660.69	$1,288.25	$2,041.74
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 $338.84 / $616.60 / $1,621.81	Professional		$338.84	$616.60	$1,621.81