Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $2,041.74 / $6,165.95	Facility		$104.71	$2,041.74	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $977.24	Professional		$77.62	$181.97	$977.24
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 $144.54 / $346.74 / $977.24	Professional		$144.54	$346.74	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $446.68	Professional		$389.05	$389.05	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,047.13	Facility		$562.34	$660.69	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $758.58	Professional		$165.96	$295.12	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $501.19 / $3,801.89	Facility		$104.71	$501.19	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $616.60	Professional		$194.98	$323.59	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,949.84 / $4,786.30	Facility		$95.50	$1,949.84	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $1,380.38	Professional		$257.04	$549.54	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $354.81	Professional		$32.36	$50.12	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $794.33	Professional		$177.83	$380.19	$794.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $4,897.79 / $4,897.79 / $7,244.36	Facility	52	$4,897.79	$4,897.79	$7,244.36
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $1,230.27 / $1,230.27 / $1,819.70	Facility	53	$1,230.27	$1,230.27	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,023.29 / $1,995.26	Professional		$154.88	$1,023.29	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,479.11	Professional		$478.63	$660.69	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $331.13 / $851.14	Professional		$123.03	$331.13	$851.14