Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $954.99 / $1,348.96	Facility		$199.53	$954.99	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $2,398.83	Professional		$575.44	$912.01	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $3,467.37	Professional		$616.60	$954.99	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $3,162.28	Facility		$1,698.24	$1,949.84	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,905.46 / $3,311.31	Professional		$891.25	$1,905.46	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $776.25 / $1,348.96	Facility		$616.60	$776.25	$1,348.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,819.70	Professional		$1,288.25	$1,479.11	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $1,348.96	Facility		$602.56	$776.25	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $12,022.64	Professional		$724.44	$1,380.38	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,754.23	Professional		$1,047.13	$1,513.56	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $5,888.44	Facility		$1,513.56	$1,513.56	$5,888.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $3,162.28 / $12,589.25	Professional		$933.25	$3,162.28	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $4,786.30	Professional		$2,089.30	$3,890.45	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,818.38	Professional		$691.83	$1,148.15	$2,818.38