Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $660.69 / $1,905.46	Facility		$19.95	$660.69	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $50.12 / $549.54	Professional		$20.89	$50.12	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,584.89 / $5,754.40	Facility		$398.11	$1,584.89	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $154.88	Professional		$38.02	$70.79	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $109.65 / $234.42	Professional	50	$58.88	$109.65	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $30.20	Facility		$22.91	$27.54	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $50.12	Professional		$36.31	$38.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $194.98	Facility		$104.71	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $58.88 / $117.49	Professional		$27.54	$58.88	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $67.61 / $3,981.07	Facility		$23.99	$67.61	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $117.49	Professional		$44.67	$70.79	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $67.61 / $1,737.80	Facility		$24.55	$67.61	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $186.21	Professional		$37.15	$64.57	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $138.04	Professional		$42.66	$75.86	$138.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $199.53	Facility		$63.10	$63.10	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $288.40	Professional		$25.12	$44.67	$288.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $169.82	Professional		$56.23	$104.71	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $134.90	Professional		$26.30	$51.29	$134.90