Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,479.11 / $1,995.26	Facility		$257.04	$1,479.11	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $870.96	Professional		$186.21	$251.19	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $1,258.93	Professional		$229.09	$354.81	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $338.84	Facility		$257.04	$257.04	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,148.15	Facility		$616.60	$724.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $741.31 / $1,412.54	Professional		$323.59	$741.31	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $741.31 / $1,122.02	Facility		$218.78	$741.31	$1,122.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $501.19	Professional		$426.58	$446.68	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $338.84 / $1,479.11	Facility		$107.15	$338.84	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $524.81 / $1,548.82	Professional		$213.80	$524.81	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $323.59	Professional		$32.36	$50.12	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $1,479.11	Professional		$524.81	$1,047.13	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,041.74 / $2,041.74	Facility		$537.03	$2,041.74	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,258.93 / $1,548.82	Professional		$363.08	$1,258.93	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Security Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $3,235.94	Facility		$2,398.83	$2,884.03	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,754.23	Professional		$1,445.44	$1,862.09	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $1,096.48	Professional		$234.42	$426.58	$1,096.48