Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $8,128.31 / $13,803.84	Facility		$1,479.11	$8,128.31	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $676.08 / $2,951.21	Professional		$234.42	$676.08	$2,951.21
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $177.83 / $281.84 / $1,584.89	Professional	53	$177.83	$281.84	$1,584.89
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 $363.08 / $1,348.96 / $4,570.88	Professional		$363.08	$1,348.96	$4,570.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $6,760.83	Facility		$3,630.78	$4,168.69	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $4,786.30	Professional		$398.11	$812.83	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,454.71 / $5,754.40	Facility		$245.47	$2,454.71	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $3,715.35	Professional		$478.63	$758.58	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,570.88 / $8,128.31	Facility		$288.40	$4,570.88	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,089.30 / $9,772.37	Professional		$457.09	$2,089.30	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,412.54 / $4,365.16	Professional		$398.11	$1,412.54	$4,365.16
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 52 Low / Median / High Price $5,128.61 / $5,128.61 / $7,585.78	Facility	52	$5,128.61	$5,128.61	$7,585.78
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $1,288.25 / $1,288.25 / $1,905.46	Facility	53	$1,288.25	$1,288.25	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $2,691.53 / $8,912.51	Professional		$338.84	$2,691.53	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,288.25 / $7,244.36	Professional		$616.60	$1,288.25	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $812.83 / $4,786.30	Professional		$269.15	$812.83	$4,786.30