Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $5,128.61	Facility		$1,479.11	$3,090.30	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $489.78 / $2,884.03	Professional		$141.25	$489.78	$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 $245.47 / $676.08 / $1,905.46	Professional		$245.47	$676.08	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,511.89	Facility		$1,348.96	$1,548.82	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $537.03 / $1,479.11	Professional		$281.84	$537.03	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,202.26 / $4,265.80	Facility		$165.96	$1,202.26	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,445.44	Professional		$323.59	$524.81	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,041.74 / $5,370.32	Facility		$218.78	$2,041.74	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $2,570.40	Professional		$616.60	$1,174.90	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $562.34 / $1,659.59	Professional		$257.04	$562.34	$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 Professional Modifier Low / Median / High Price $288.40 / $1,000.00 / $3,467.37	Professional		$288.40	$1,000.00	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,096.48 / $2,238.72	Professional		$316.23	$1,096.48	$2,238.72
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 $186.21 / $616.60 / $2,137.96	Professional		$186.21	$616.60	$2,137.96