Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,445.44 / $1,778.28	Facility		$776.25	$1,445.44	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $912.01	Professional		$426.58	$537.03	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,778.28	Facility		$1,380.38	$1,737.80	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $2,570.40	Professional		$257.04	$257.04	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $870.96	Facility		$645.65	$645.65	$870.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,311.31	Facility		$1,778.28	$2,041.74	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $1,995.26	Professional		$741.31	$1,318.26	$1,995.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,691.53 / $4,073.80	Facility		$707.95	$2,691.53	$4,073.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,265.80	Professional		$3,801.89	$3,801.89	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $2,238.72	Facility		$575.44	$776.25	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $3,162.28	Professional		$288.40	$389.05	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $588.84	Professional		$50.12	$70.79	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,137.96	Professional		$1,047.13	$1,513.56	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,019.95 / $3,019.95	Facility		$1,288.25	$3,019.95	$3,019.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $2,570.40 / $3,162.28	Professional		$309.03	$2,570.40	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,380.38	Professional		$645.65	$645.65	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,089.30 / $3,548.13	Professional		$645.65	$2,089.30	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $776.25	Facility		$512.86	$512.86	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $1,047.13	Professional		$269.15	$389.05	$1,047.13