Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $1,659.59	Facility		$724.44	$1,318.26	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $758.58	Professional		$354.81	$489.78	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,659.59	Facility		$1,288.25	$1,621.81	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $2,398.83	Professional		$239.88	$239.88	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,090.30	Facility		$1,659.59	$1,905.46	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,862.09	Professional		$691.83	$891.25	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,388.44	Facility		$354.81	$1,202.26	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,981.07	Professional		$3,548.13	$3,548.13	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $2,089.30	Facility		$354.81	$562.34	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $2,137.96	Professional		$269.15	$363.08	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $602.56	Professional		$54.95	$70.79	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $1,949.84	Professional		$933.25	$1,412.54	$1,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,818.38	Facility		$1,202.26	$1,202.26	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $3,019.95 / $3,019.95	Professional		$316.23	$3,019.95	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,258.93	Professional		$446.68	$446.68	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,737.80 / $3,235.94	Professional		$446.68	$1,737.80	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $724.44	Facility		$331.13	$478.63	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $1,000.00	Professional		$251.19	$363.08	$1,000.00