Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $1,584.89	Facility		$691.83	$1,288.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $691.83	Professional		$436.52	$512.86	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,584.89	Facility		$1,258.93	$1,548.82	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $2,344.23	Professional		$288.40	$288.40	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,819.70	Professional		$660.69	$831.76	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $4,677.35	Facility		$512.86	$1,258.93	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $549.54 / $2,754.23	Facility		$457.09	$549.54	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,318.26	Professional		$338.84	$478.63	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $85.11 / $1,202.26	Professional		$32.36	$85.11	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,479.11 / $2,754.23	Professional		$741.31	$1,479.11	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,754.23	Facility		$1,148.15	$1,148.15	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $758.58	Professional		$309.03	$354.81	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,230.27	Professional		$602.56	$602.56	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,290.87 / $3,548.13	Professional		$602.56	$2,290.87	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $691.83	Facility		$436.52	$512.86	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,445.44	Professional		$245.47	$478.63	$1,445.44