Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $3,311.31 / $12,589.25	Facility		$151.36	$3,311.31	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $1,202.26	Professional		$151.36	$331.13	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $1,258.93	Professional		$239.88	$501.19	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Facility		$851.14	$1,000.00	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $1,174.90	Professional		$239.88	$524.81	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $467.74 / $4,168.69	Facility		$165.96	$467.74	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $831.76	Professional		$323.59	$501.19	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $616.60 / $5,623.41	Facility		$165.96	$616.60	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $2,570.40	Professional		$275.42	$489.78	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $977.24	Professional		$263.03	$467.74	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $5,495.41	Facility		$3,715.35	$5,495.41	$5,495.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $630.96 / $2,570.40	Professional		$204.17	$630.96	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,905.46	Professional		$676.08	$1,148.15	$1,905.46
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 $173.78 / $363.08 / $1,023.29	Professional		$173.78	$363.08	$1,023.29