Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $2,187.76	Facility		$316.23	$588.84	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $446.68	Professional		$169.82	$218.78	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $724.44	Facility		$562.34	$707.95	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,071.52	Professional		$104.71	$104.71	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $354.81	Facility		$263.03	$263.03	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $371.54	Professional		$263.03	$263.03	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,348.96	Facility		$724.44	$851.14	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $575.44 / $812.83	Professional		$302.00	$575.44	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,174.90 / $1,698.24	Facility		$288.40	$1,174.90	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Professional		$1,584.89	$1,584.89	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $2,137.96	Facility		$218.78	$316.23	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $1,318.26	Professional		$123.03	$173.78	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $263.03	Professional		$54.95	$70.79	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $870.96	Professional		$457.09	$616.60	$870.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,258.93 / $1,258.93	Facility		$524.81	$1,258.93	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,318.26 / $1,318.26	Professional		$131.83	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $562.34	Professional		$218.78	$218.78	$562.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,445.44	Professional		$218.78	$218.78	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $316.23	Facility		$208.93	$208.93	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $478.63	Professional		$109.65	$169.82	$478.63