Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $8,128.31	Professional		$794.33	$1,445.44	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $5,370.32	Professional		$954.99	$1,621.81	$5,370.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $5,128.61	Professional		$1,548.82	$4,466.84	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,951.21	Professional		$1,949.84	$2,290.87	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $8,912.51	Professional		$1,380.38	$2,691.53	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $4,365.16	Professional		$1,584.89	$2,884.03	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $9,120.11 / $9,120.11	Professional		$5,754.40	$9,120.11	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,025.60 / $8,511.38	Professional		$4,073.80	$6,025.60	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $5,128.61	Professional		$1,202.26	$2,344.23	$5,128.61