Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,168.69 / $6,918.31	Facility		$1,862.09	$4,168.69	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $457.09 / $2,884.03	Professional		$151.36	$457.09	$2,884.03
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 $263.03 / $691.83 / $1,905.46	Professional		$263.03	$691.83	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,511.89	Facility		$1,348.96	$1,584.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $1,479.11	Professional		$302.00	$549.54	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,230.27 / $4,265.80	Facility		$177.83	$1,230.27	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,445.44	Professional		$346.74	$549.54	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,754.23 / $5,623.41	Facility		$186.21	$2,754.23	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $2,570.40	Professional		$630.96	$1,202.26	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $1,659.59	Professional		$269.15	$588.84	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,981.07	Facility		$2,754.23	$2,754.23	$3,981.07
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $549.54 / $549.54 / $794.33	Facility	53	$549.54	$549.54	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,023.29 / $3,467.37	Professional		$302.00	$1,023.29	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,071.52 / $2,137.96	Professional		$346.74	$1,071.52	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $630.96 / $2,187.76	Professional		$199.53	$630.96	$2,187.76