Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,981.07 / $9,772.37	Facility		$891.25	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,318.26 / $4,265.80	Professional		$616.60	$1,318.26	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,318.26 / $3,311.31	Professional		$616.60	$1,318.26	$3,311.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,388.44	Facility		$1,819.70	$2,089.30	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,137.96 / $2,454.71	Professional		$912.01	$2,137.96	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,466.84 / $8,912.51	Facility		$794.33	$4,466.84	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,995.26	Professional		$1,202.26	$1,659.59	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,981.07 / $8,317.64	Facility		$741.31	$3,981.07	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $5,888.44	Professional		$630.96	$1,071.52	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,398.83	Professional		$794.33	$1,548.82	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,090.30 / $5,888.44	Professional		$912.01	$3,090.30	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,715.35 / $4,073.80	Professional		$1,513.56	$3,715.35	$4,073.80
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 $588.84 / $977.24 / $2,754.23	Professional		$588.84	$977.24	$2,754.23