Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,584.89 / $7,943.28	Facility		$575.44	$1,584.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $691.83 / $2,951.21	Professional		$323.59	$691.83	$2,951.21
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 $575.44 / $1,096.48 / $2,570.40	Professional		$575.44	$1,096.48	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $436.52	Facility		$331.13	$398.11	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $831.76	Professional		$630.96	$676.08	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $933.25 / $1,862.09	Professional		$398.11	$933.25	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,000.00 / $3,388.44	Facility		$346.74	$1,000.00	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $2,041.74	Professional		$645.65	$1,202.26	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $977.24 / $1,862.09	Facility		$354.81	$977.24	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $3,548.13	Professional		$676.08	$1,288.25	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $2,187.76	Professional		$562.34	$1,047.13	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,398.83	Facility		$1,258.93	$1,258.93	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $4,897.79	Professional		$363.08	$776.25	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,513.56 / $2,951.21	Professional		$812.83	$1,513.56	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $2,238.72	Professional		$380.19	$794.33	$2,238.72