Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,548.82 / $3,548.13	Facility		$323.59	$1,548.82	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $302.00 / $1,122.02	Professional		$74.13	$302.00	$1,122.02
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 $134.90 / $478.63 / $1,412.54	Professional		$134.90	$478.63	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,862.09	Facility		$1,000.00	$1,148.15	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $467.74 / $1,096.48	Professional		$154.88	$467.74	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $912.01 / $4,265.80	Facility		$91.20	$912.01	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $1,047.13	Professional		$177.83	$281.84	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,819.70 / $4,168.69	Facility		$91.20	$1,819.70	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,949.84	Professional		$467.74	$851.14	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $389.05 / $1,202.26	Professional		$141.25	$389.05	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $1,096.48	Facility		$213.80	$213.80	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $741.31 / $2,570.40	Professional		$154.88	$741.31	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $794.33 / $1,584.89	Professional		$177.83	$794.33	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $371.54 / $1,584.89	Professional		$102.33	$371.54	$1,584.89