Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,047.13 / $5,888.44	Facility		$354.81	$1,047.13	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $467.74 / $4,265.80	Professional		$173.78	$467.74	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $1,479.11	Professional		$302.00	$630.96	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $234.42	Facility		$177.83	$213.80	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $501.19	Professional		$380.19	$407.38	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $489.78 / $1,258.93	Professional		$208.93	$489.78	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $537.03 / $3,388.44	Facility		$186.21	$537.03	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $1,230.27	Professional		$346.74	$660.69	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $537.03 / $1,737.80	Facility		$186.21	$537.03	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $2,187.76	Professional		$380.19	$758.58	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,318.26	Professional		$295.12	$562.34	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,348.96	Facility		$489.78	$489.78	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $467.74 / $2,951.21	Professional		$194.98	$467.74	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $794.33 / $1,778.28	Professional		$436.52	$794.33	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $1,348.96	Professional		$204.17	$467.74	$1,348.96