Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,905.46 / $3,890.45	Facility		$218.78	$1,905.46	$3,890.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	52	$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $263.03 / $831.76	Professional		$97.72	$263.03	$831.76
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 $144.54 / $371.54 / $1,122.02	Professional		$144.54	$371.54	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $138.04 / $186.21	Facility		$112.20	$138.04	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $602.56	Professional		$281.84	$354.81	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $1,479.11	Facility		$794.33	$912.01	$1,479.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	52	$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	53	$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $389.05 / $1,148.15	Professional		$131.83	$389.05	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $3,090.30	Facility		$104.71	$281.84	$3,090.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $794.33	Professional		$190.55	$398.11	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $309.03 / $3,235.94	Facility		$107.15	$309.03	$3,235.94
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	52	$380.19	$380.19	$380.19
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	53	$95.50	$95.50	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $2,137.96	Professional		$309.03	$588.84	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $371.54 / $933.25	Professional		$165.96	$371.54	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,884.03	Facility		$1,949.84	$1,949.84	$2,884.03
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Facility	52	$1,548.82	$1,548.82	$2,290.87
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $389.05 / $389.05 / $575.44	Facility	53	$389.05	$389.05	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $436.52 / $2,041.74	Professional		$123.03	$436.52	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $933.25 / $1,479.11	Professional		$389.05	$933.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $323.59 / $776.25	Professional		$117.49	$323.59	$776.25