Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $1,584.89	Facility		$691.83	$1,288.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $691.83	Professional		$407.38	$478.63	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,584.89	Facility		$1,258.93	$1,548.82	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $2,041.74	Professional		$234.42	$234.42	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,819.70	Professional		$660.69	$831.76	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,148.15 / $2,041.74	Facility		$257.04	$1,148.15	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $524.81 / $2,754.23	Facility		$257.04	$524.81	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $891.25	Professional		$208.93	$346.74	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $870.96	Professional		$54.95	$64.57	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $1,905.46	Professional		$741.31	$1,348.96	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,754.23	Facility		$1,148.15	$1,148.15	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,230.27	Professional		$263.03	$263.03	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,023.29 / $3,235.94	Professional		$263.03	$1,023.29	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $467.74 / $691.83	Facility		$323.59	$467.74	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $1,047.13	Professional		$208.93	$346.74	$1,047.13