Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,122.02 / $2,818.38	Facility		$346.74	$1,122.02	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $1,174.90	Professional		$302.00	$316.23	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,258.93	Professional		$295.12	$575.44	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $645.65	Facility		$371.54	$489.78	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,691.53	Facility		$1,445.44	$1,698.24	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,047.13	Professional		$616.60	$912.01	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $323.59 / $630.96	Facility		$302.00	$323.59	$630.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $977.24 / $1,047.13	Professional		$346.74	$977.24	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $794.33	Facility		$302.00	$501.19	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $2,238.72	Professional		$363.08	$363.08	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $363.08	Professional		$50.12	$70.79	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,412.54	Professional		$478.63	$1,023.29	$1,412.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,344.23 / $2,344.23	Facility		$812.83	$2,344.23	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,778.28 / $2,238.72	Professional		$630.96	$1,778.28	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,137.96 / $2,137.96	Professional		$478.63	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78