Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,884.03 / $3,548.13	Facility		$524.81	$2,884.03	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $912.01	Professional		$331.13	$407.38	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $3,548.13	Facility		$2,818.38	$3,548.13	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,819.70	Professional		$218.78	$218.78	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,344.23	Facility		$1,202.26	$1,621.81	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,905.46	Professional		$1,096.48	$1,380.38	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,187.76 / $3,890.45	Facility		$275.42	$2,187.76	$3,890.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,709.64	Professional		$7,762.47	$7,762.47	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $4,570.88	Facility		$275.42	$446.68	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $1,659.59	Professional		$251.19	$363.08	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $501.19	Professional		$54.95	$70.79	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,951.21 / $4,265.80	Professional		$1,148.15	$2,951.21	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $6,165.95	Facility		$2,630.27	$2,630.27	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $4,570.88 / $6,456.54	Professional		$630.96	$4,570.88	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $933.25	Professional		$446.68	$446.68	$933.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,137.96 / $2,691.53	Professional		$446.68	$2,137.96	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $1,548.82	Facility		$354.81	$389.05	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $1,000.00	Professional		$186.21	$363.08	$1,000.00