Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $5,888.44	Facility		$1,698.24	$2,951.21	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,737.80 / $2,570.40	Professional		$512.86	$1,737.80	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $5,888.44	Facility		$4,570.88	$5,754.40	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $6,760.83	Professional		$851.14	$851.14	$6,760.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $10,964.78	Facility		$5,888.44	$6,918.31	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $6,760.83	Professional		$2,454.71	$3,162.28	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $4,265.80	Facility		$1,288.25	$2,570.40	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $14,125.38	Professional		$12,882.50	$12,882.50	$14,125.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $7,585.78	Facility		$1,288.25	$2,041.74	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,288.25 / $7,762.47	Professional		$363.08	$1,288.25	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $3,235.94	Professional		$54.95	$70.79	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $5,011.87 / $7,079.46	Professional		$1,148.15	$5,011.87	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $10,232.93	Facility		$4,265.80	$4,265.80	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $10,715.19 / $10,715.19	Professional		$1,148.15	$10,715.19	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $4,570.88	Professional		$446.68	$446.68	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,737.80 / $11,748.98	Professional		$446.68	$1,737.80	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,570.40	Facility		$1,071.52	$1,698.24	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,288.25 / $2,570.40	Professional		$363.08	$1,288.25	$2,570.40