Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,905.46 / $5,888.44	Facility		$114.82	$1,905.46	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $144.54 / $426.58	Professional		$54.95	$144.54	$426.58
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 $75.86 / $229.09 / $616.60	Professional		$75.86	$229.09	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $97.72	Facility		$60.26	$74.13	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $389.05	Professional		$181.97	$229.09	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $954.99	Facility		$512.86	$588.84	$954.99
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	52	$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	53	$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $208.93 / $724.44	Professional		$70.79	$208.93	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $158.49 / $323.59	Facility		$56.23	$158.49	$323.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $501.19	Professional		$102.33	$234.42	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $165.96 / $2,398.83	Facility		$58.88	$165.96	$2,398.83
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	52	$208.93	$208.93	$208.93
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $398.11 / $1,380.38	Professional		$154.88	$398.11	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $707.95	Professional		$95.50	$257.04	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,951.21 / $2,951.21	Facility		$776.25	$2,951.21	$2,951.21
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $457.09 / $457.09 / $676.08	Facility	52	$457.09	$457.09	$676.08
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $114.82 / $114.82 / $169.82	Facility	53	$114.82	$114.82	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $446.68 / $1,318.26	Professional		$70.79	$446.68	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $954.99	Professional		$199.53	$302.00	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $407.38	Professional		$60.26	$165.96	$407.38