Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,318.26 / $3,630.78	Facility		$269.15	$1,318.26	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $2,454.71	Professional		$288.40	$630.96	$2,454.71
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 $512.86 / $1,047.13 / $2,398.83	Professional		$512.86	$1,047.13	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $389.05	Facility		$302.00	$363.08	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $794.33	Professional		$588.84	$630.96	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,235.94	Facility		$1,737.80	$1,995.26	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $831.76 / $1,949.84	Professional		$354.81	$831.76	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $891.25 / $3,388.44	Facility		$309.03	$891.25	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,905.46	Professional		$575.44	$1,122.02	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $891.25 / $1,778.28	Facility		$316.23	$891.25	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $2,951.21	Professional		$588.84	$1,122.02	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $933.25 / $2,041.74	Professional		$501.19	$933.25	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,089.30	Facility		$1,258.93	$1,258.93	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $724.44 / $4,677.35	Professional		$323.59	$724.44	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $2,754.23	Professional		$741.31	$1,348.96	$2,754.23
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 $338.84 / $741.31 / $2,041.74	Professional		$338.84	$741.31	$2,041.74