Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $8,511.38 / $11,481.54	Facility		$724.44	$8,511.38	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,698.24 / $7,585.78	Professional		$245.47	$1,698.24	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,819.70 / $7,585.78	Professional		$389.05	$1,819.70	$7,585.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $10,715.19	Facility		$5,754.40	$6,760.83	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $7,585.78	Professional		$398.11	$870.96	$7,585.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,311.31 / $6,918.31	Facility		$263.03	$3,311.31	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $5,495.41	Professional		$512.86	$812.83	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,981.07 / $12,589.25	Facility		$295.12	$3,981.07	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $15,488.17	Professional		$1,737.80	$3,467.37	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $2,238.72 / $6,606.93	Professional		$426.58	$2,238.72	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,589.25 / $12,589.25	Facility		$8,511.38	$12,589.25	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $4,265.80 / $14,454.40	Professional		$363.08	$4,265.80	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,995.26 / $11,481.54	Professional		$912.01	$1,995.26	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,288.25 / $6,918.31	Professional		$309.03	$1,288.25	$6,918.31