Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,041.74 / $7,413.10	Facility		$645.65	$2,041.74	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $3,311.31	Professional		$588.84	$933.25	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,513.56 / $3,388.44	Professional		$758.58	$1,513.56	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $977.24	Professional		$707.95	$776.25	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $2,290.87	Professional		$724.44	$1,380.38	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,584.89 / $4,897.79	Facility		$645.65	$1,584.89	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,290.87	Professional		$1,230.27	$1,778.28	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,513.56 / $5,128.61	Facility		$660.69	$1,513.56	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $4,570.88	Professional		$741.31	$1,202.26	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,995.26	Professional		$32.36	$33.11	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,570.40	Professional		$1,122.02	$1,778.28	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $5,623.41	Facility		$3,801.89	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $7,079.46	Professional		$676.08	$1,174.90	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $3,388.44	Professional		$1,380.38	$2,818.38	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,691.53	Professional		$660.69	$1,047.13	$2,691.53