Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $14,454.40 / $21,877.62	Facility		$1,513.56	$14,454.40	$21,877.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,022.64 / $12,022.64 / $15,488.17	Facility	50	$12,022.64	$12,022.64	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $2,691.53	Professional		$575.44	$891.25	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,803.84 / $23,988.33	Facility		$7,585.78	$13,803.84	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,412.54 / $3,388.44	Professional		$707.95	$1,412.54	$3,388.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,630.78	Facility		$1,949.84	$2,290.87	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $2,691.53	Professional		$812.83	$1,819.70	$2,691.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,548.82 / $7,244.36	Facility		$676.08	$1,548.82	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,187.76	Professional		$1,230.27	$1,584.89	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $15,135.61	Facility		$676.08	$2,454.71	$15,135.61
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility	50	$21,379.62	$21,379.62	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $7,079.46	Professional		$776.25	$1,412.54	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $2,630.27	Professional		$851.14	$1,698.24	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $13,803.84 / $13,803.84	Facility		$6,309.57	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,819.70 / $7,079.46	Professional		$676.08	$1,819.70	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $7,943.28	Professional		$3,019.95	$5,011.87	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,489.63 / $17,378.01	Facility		$8,912.51	$13,489.63	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,884.03	Professional		$645.65	$1,122.02	$2,884.03