Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,096.48	Facility		$389.05	$575.44	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $537.03	Professional		$169.82	$239.88	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $707.95	Facility		$549.54	$691.83	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,071.52	Professional		$125.89	$125.89	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $346.74	Facility		$257.04	$257.04	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $363.08	Professional		$257.04	$257.04	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Facility		$707.95	$831.76	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $812.83	Professional		$295.12	$616.60	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,412.54 / $2,041.74	Facility		$309.03	$1,412.54	$2,041.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,698.24	Professional		$1,548.82	$1,548.82	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $346.74 / $1,148.15	Facility		$245.47	$346.74	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $1,819.70	Professional		$151.36	$218.78	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $524.81	Professional		$33.11	$70.79	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $912.01	Professional		$446.68	$660.69	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,230.27 / $1,230.27	Facility		$660.69	$1,230.27	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,445.44 / $1,862.09	Professional		$309.03	$1,445.44	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $549.54	Professional		$363.08	$363.08	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $1,412.54	Professional		$363.08	$501.19	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Facility		$229.09	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $501.19	Professional		$107.15	$204.17	$501.19