Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $95.50 / $263.03	Facility		$12.88	$95.50	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $60.26 / $208.93	Professional		$14.13	$60.26	$208.93
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 $25.12 / $75.86 / $234.42	Professional		$25.12	$75.86	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $114.82 / $363.08	Professional	50	$38.90	$114.82	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.38 / $19.05	Facility		$14.79	$17.38	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $85.11	Professional		$64.57	$69.18	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $363.08	Facility		$194.98	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $45.71 / $190.55	Professional		$17.78	$45.71	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $77.62 / $3,311.31	Facility		$15.49	$77.62	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $194.98	Professional		$28.18	$52.48	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $77.62 / $1,659.59	Facility		$16.22	$77.62	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $269.15	Professional		$48.98	$89.13	$269.15
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 $26.92 / $77.62 / $229.09	Professional		$26.92	$77.62	$229.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,659.59 / $1,659.59	Facility		$134.90	$1,659.59	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $69.18 / $501.19	Professional		$17.38	$69.18	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $87.10 / $309.03	Professional		$35.48	$87.10	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $57.54 / $181.97	Professional		$17.78	$57.54	$181.97