Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,715.35 / $6,456.54	Facility		$562.34	$3,715.35	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $426.58 / $1,047.13	Professional		$186.21	$426.58	$1,047.13
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 $257.04 / $630.96 / $1,905.46	Professional		$257.04	$630.96	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $338.84	Facility		$181.97	$245.47	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $660.69	Professional		$549.54	$602.56	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,454.71	Facility		$1,318.26	$1,548.82	$2,454.71
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	22	$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $707.95 / $1,949.84	Professional		$239.88	$707.95	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $489.78 / $3,090.30	Facility		$194.98	$489.78	$3,090.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,288.25	Professional		$354.81	$724.44	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $512.86 / $3,548.13	Facility		$204.17	$512.86	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,023.29 / $3,630.78	Professional		$275.42	$1,023.29	$3,630.78
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 $309.03 / $724.44 / $1,778.28	Professional		$309.03	$724.44	$1,778.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $4,897.79	Facility		$3,311.31	$4,897.79	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,148.15 / $3,467.37	Professional		$234.42	$1,148.15	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,511.89	Professional		$707.95	$977.24	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $1,348.96	Professional		$208.93	$446.68	$1,348.96