Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $309.03 / $309.03	Facility		$134.90	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $134.90	Professional		$77.62	$91.20	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.92 / $389.05	Professional		$5.89	$6.92	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $575.44	Facility		$309.03	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $346.74	Professional		$128.82	$165.96	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $389.05 / $660.69	Facility		$58.88	$389.05	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $104.71 / $537.03	Facility		$58.88	$104.71	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $199.53	Professional		$56.23	$67.61	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $371.54	Professional		$144.54	$257.04	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $537.03	Facility		$223.87	$223.87	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $616.60	Professional		$588.84	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $134.90	Facility		$89.13	$89.13	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $218.78	Professional		$46.77	$67.61	$218.78