Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $831.76 / $1,096.48	Facility		$87.10	$831.76	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $1,949.84	Professional		$380.19	$891.25	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,819.70	Professional		$512.86	$1,000.00	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,230.27 / $1,862.09	Professional		$616.60	$1,230.27	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $933.25 / $10,471.29	Facility		$407.38	$933.25	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,479.11	Professional		$870.96	$1,148.15	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $933.25 / $7,762.47	Facility		$407.38	$933.25	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $4,073.80	Professional		$489.78	$812.83	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,174.90 / $1,862.09	Professional		$630.96	$1,174.90	$1,862.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $2,630.27	Facility		$1,047.13	$2,630.27	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $3,981.07	Professional		$575.44	$1,122.02	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $1,698.24	Professional		$707.95	$1,258.93	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $19,498.45	Facility		$1,778.28	$4,786.30	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,548.82	Professional		$380.19	$660.69	$1,548.82