Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,412.54	Facility		$616.60	$1,148.15	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $776.25	Professional		$363.08	$446.68	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,412.54	Facility		$1,122.02	$1,380.38	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $2,089.30	Professional		$208.93	$208.93	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Facility		$512.86	$512.86	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $724.44	Professional		$512.86	$512.86	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,621.81	Professional		$588.84	$1,071.52	$1,621.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,187.76 / $3,311.31	Facility		$575.44	$2,187.76	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,467.37	Professional		$3,090.30	$3,090.30	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,819.70	Facility		$467.74	$616.60	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $2,570.40	Professional		$234.42	$309.03	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $478.63	Professional		$50.12	$70.79	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,698.24	Professional		$831.76	$1,230.27	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,454.71 / $2,454.71	Facility		$1,047.13	$2,454.71	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,089.30 / $2,570.40	Professional		$245.47	$2,089.30	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,096.48	Professional		$512.86	$512.86	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,513.56 / $2,818.38	Professional		$512.86	$1,513.56	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $616.60	Facility		$416.87	$416.87	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $851.14	Professional		$218.78	$309.03	$851.14