Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $954.99 / $3,467.37	Facility		$0.83	$954.99	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $1,412.54	Professional		$162.18	$346.74	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $891.25	Professional		$165.96	$331.13	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $812.83	Facility		$436.52	$512.86	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $758.58	Professional		$275.42	$660.69	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $4,265.80 / $7,762.47	Facility		$169.82	$4,265.80	$7,762.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $524.81	Professional		$302.00	$416.87	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,318.26 / $2,089.30	Facility		$169.82	$1,318.26	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $977.24	Professional		$181.97	$323.59	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $616.60	Professional		$186.21	$363.08	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,071.52	Facility		$436.52	$436.52	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $831.76 / $1,230.27	Professional		$309.03	$831.76	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,174.90	Professional		$630.96	$977.24	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $758.58	Professional		$169.82	$281.84	$758.58