Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $2,454.71	Facility		$1,071.52	$1,995.26	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,258.93	Professional		$436.52	$741.31	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,454.71	Facility		$1,949.84	$2,398.83	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $3,548.13	Professional		$354.81	$354.81	$3,548.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,818.38	Professional		$1,023.29	$1,348.96	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,778.28 / $5,128.61	Facility		$446.68	$1,778.28	$5,128.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,025.60	Professional		$5,370.32	$5,370.32	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $3,162.28	Facility		$446.68	$851.14	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $3,235.94	Professional		$407.38	$537.03	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $891.25	Professional		$54.95	$70.79	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $2,951.21	Professional		$1,380.38	$2,089.30	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,265.80	Facility		$1,778.28	$1,778.28	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $4,466.84 / $4,466.84	Professional		$478.63	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $6,309.57	Professional		$2,630.27	$4,897.79	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,071.52	Facility		$537.03	$724.44	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,479.11	Professional		$380.19	$537.03	$1,479.11