Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,630.78 / $4,466.84	Facility		$1,949.84	$3,630.78	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,454.71	Professional		$1,071.52	$1,380.38	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $4,466.84	Facility		$3,467.37	$4,365.16	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $6,456.54	Professional		$645.65	$645.65	$6,456.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $5,128.61	Professional		$1,862.09	$2,454.71	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,235.94 / $9,120.11	Facility		$977.24	$3,235.94	$9,120.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $10,715.19	Professional		$9,772.37	$9,772.37	$10,715.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $5,623.41	Facility		$977.24	$1,548.82	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $5,888.44	Professional		$724.44	$977.24	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $812.83	Professional		$50.12	$64.57	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $5,370.32	Professional		$2,511.89	$3,801.89	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $7,762.47	Facility		$3,235.94	$3,235.94	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $8,128.31 / $8,128.31	Professional		$870.96	$8,128.31	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,467.37	Professional		$1,621.81	$1,621.81	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $8,912.51	Professional		$1,621.81	$1,621.81	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,949.84	Facility		$977.24	$1,288.25	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $2,691.53	Professional		$676.08	$977.24	$2,691.53