Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,762.47 / $14,454.40	Facility		$3,311.31	$7,762.47	$14,454.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $7,079.46 / $11,748.98	Facility	50	$3,090.30	$7,079.46	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $2,398.83	Professional		$478.63	$812.83	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $2,454.71	Professional		$489.78	$954.99	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $933.25	Facility		$501.19	$660.69	$933.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $741.31	Professional		$630.96	$660.69	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $5,623.41	Facility		$1,318.26	$1,548.82	$5,623.41
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,122.02 / $2,137.96	Professional		$537.03	$1,122.02	$2,137.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $676.08 / $5,248.07	Facility		$489.78	$676.08	$5,248.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,698.24	Professional		$891.25	$1,096.48	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $9,549.93	Facility		$512.86	$812.83	$9,549.93
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	AS	$912.01	$912.01	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $4,073.80	Professional		$512.86	$870.96	$4,073.80
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 $660.69 / $1,202.26 / $1,862.09	Professional		$660.69	$1,202.26	$1,862.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Facility		$6,456.54	$9,549.93	$9,549.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $645.65 / $645.65 / $954.99	Facility	AS	$645.65	$645.65	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,454.71 / $4,168.69	Professional		$524.81	$2,454.71	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,570.40	Professional		$1,380.38	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,905.46	Professional		$489.78	$707.95	$1,905.46