Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $676.08 / $676.08	Facility		$295.12	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $295.12	Professional		$173.78	$204.17	$295.12
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 / $851.14	Professional		$38.90	$45.71	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,258.93	Facility		$676.08	$794.33	$1,258.93
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 $173.78 / $851.14 / $1,445.44	Facility		$173.78	$851.14	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $1,174.90	Facility		$131.83	$234.42	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $446.68	Professional		$123.03	$147.91	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
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 $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $1,862.09	Professional		$724.44	$1,348.96	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $295.12	Facility		$199.53	$199.53	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $478.63	Professional		$104.71	$147.91	$478.63