Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,288.25 / $1,288.25	Facility		$562.34	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $562.34	Professional		$323.59	$371.54	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.57 / $1,621.81	Professional		$2.19	$2.57	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,398.83	Facility		$1,288.25	$1,479.11	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,445.44	Professional		$537.03	$691.83	$1,445.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,584.89 / $2,691.53	Facility		$275.42	$1,584.89	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $2,187.76	Facility		$275.42	$436.52	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $831.76	Professional		$234.42	$275.42	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $691.83	Professional		$50.12	$85.11	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $1,513.56	Professional		$602.56	$1,071.52	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $2,187.76	Facility		$933.25	$933.25	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $2,511.89	Professional		$2,454.71	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $562.34	Facility		$371.54	$371.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $891.25	Professional		$194.98	$275.42	$891.25