Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $13,803.84	Facility		$812.83	$3,467.37	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,778.28	Professional		$354.81	$562.34	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,995.26	Professional		$512.86	$794.33	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $630.96	Facility		$371.54	$446.68	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $676.08	Professional		$501.19	$501.19	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,818.38	Facility		$1,445.44	$1,698.24	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,412.54 / $2,511.89	Professional		$562.34	$1,412.54	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $4,677.35	Facility		$389.05	$645.65	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,513.56	Professional		$724.44	$1,047.13	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $7,585.78	Facility		$389.05	$776.25	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,071.52 / $4,073.80	Professional		$501.19	$1,071.52	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,819.70	Professional		$724.44	$1,202.26	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,630.27 / $3,890.45	Professional		$707.95	$2,630.27	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,511.89 / $3,467.37	Professional		$831.76	$2,511.89	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,949.84	Professional		$398.11	$724.44	$1,949.84