Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $676.08 / $676.08	Facility		$234.42	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $234.42	Professional		$144.54	$162.18	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $676.08	Facility		$524.81	$660.69	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $676.08	Professional		$38.90	$45.71	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,000.00	Facility		$537.03	$707.95	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $776.25	Professional		$281.84	$354.81	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $489.78 / $1,202.26	Facility		$102.33	$489.78	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $199.53 / $489.78	Facility		$102.33	$199.53	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $363.08	Professional		$112.20	$147.91	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $537.03	Professional		$54.95	$64.57	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $812.83	Professional		$316.23	$575.44	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,174.90	Facility		$489.78	$489.78	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,479.11	Professional		$724.44	$1,047.13	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $165.96 / $295.12	Facility		$154.88	$165.96	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $371.54	Professional		$104.71	$147.91	$371.54