Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,659.59 / $4,677.35	Facility		$323.59	$1,659.59	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $1,174.90	Professional		$181.97	$331.13	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $1,258.93	Professional		$229.09	$426.58	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $489.78	Professional		$436.52	$436.52	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $1,071.52	Facility		$575.44	$660.69	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $794.33	Professional		$354.81	$575.44	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $501.19 / $3,801.89	Facility		$204.17	$501.19	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $645.65	Professional		$398.11	$524.81	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,513.56 / $5,623.41	Facility		$208.93	$1,513.56	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $645.65 / $1,380.38	Professional		$275.42	$645.65	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $602.56	Professional		$32.36	$50.12	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $794.33	Professional		$354.81	$537.03	$794.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $3,548.13	Facility		$2,454.71	$3,548.13	$3,548.13
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $245.47 / $245.47 / $354.81	Facility	AS	$245.47	$245.47	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,174.90 / $2,290.87	Professional		$346.74	$1,174.90	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,513.56	Professional		$933.25	$1,288.25	$1,513.56
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 $229.09 / $446.68 / $954.99	Professional		$229.09	$446.68	$954.99