Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $467.74 / $1,905.46	Facility		$125.89	$467.74	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $537.03	Professional		$89.13	$190.55	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $537.03	Professional		$125.89	$245.47	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $109.65 / $120.23	Facility		$91.20	$109.65	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $162.18	Professional		$120.23	$128.82	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $389.05	Professional		$112.20	$239.88	$389.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $263.03 / $3,311.31	Facility		$89.13	$263.03	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $389.05	Professional		$177.83	$263.03	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $263.03 / $1,659.59	Facility		$95.50	$263.03	$1,659.59
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	52	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $724.44	Professional		$120.23	$223.87	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $436.52	Professional		$177.83	$288.40	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,659.59 / $1,659.59	Facility		$346.74	$1,659.59	$1,659.59
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $251.19 / $251.19 / $478.63	Facility	52	$251.19	$251.19	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $933.25	Professional		$109.65	$204.17	$933.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $416.87 / $562.34	Professional		$173.78	$416.87	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $436.52	Professional		$97.72	$162.18	$436.52