Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $489.78 / $1,905.46	Facility		$0.95	$489.78	$1,905.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	50	$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $66.07 / $199.53	Professional		$30.20	$66.07	$199.53
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 $47.86 / $104.71 / $281.84	Professional		$47.86	$104.71	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $51.29 / $54.95	Facility		$39.81	$51.29	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $204.17	Professional		$72.44	$102.33	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $407.38	Facility		$218.78	$257.04	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $112.20 / $302.00	Professional		$42.66	$112.20	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $81.28 / $3,090.30	Facility		$32.36	$81.28	$3,090.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $218.78	Professional		$61.66	$128.82	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $97.72 / $1,445.44	Facility		$34.67	$97.72	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $1,659.59	Professional		$48.98	$128.82	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $269.15	Professional		$53.70	$107.15	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,951.21 / $2,951.21	Facility		$281.84	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $398.11 / $1,659.59	Professional		$56.23	$398.11	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $457.09	Professional		$173.78	$229.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $251.19	Professional		$38.90	$85.11	$251.19