Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $66.07 / $446.68	Facility		$24.55	$66.07	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $87.10 / $446.68	Professional		$24.55	$87.10	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $218.78	Professional		$40.74	$87.10	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $30.90	Facility		$23.44	$28.18	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $72.44	Professional		$54.95	$58.88	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $302.00	Facility		$162.18	$186.21	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.61 / $177.83	Professional		$28.18	$67.61	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $72.44 / $3,388.44	Facility		$25.12	$72.44	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $177.83	Professional		$45.71	$89.13	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $72.44 / $1,737.80	Facility		$25.12	$72.44	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $309.03	Professional		$58.88	$112.20	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $199.53	Professional		$41.69	$83.18	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $199.53	Facility		$64.57	$64.57	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.61 / $426.58	Professional		$28.18	$67.61	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $257.04	Professional		$48.98	$109.65	$257.04
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 $28.84 / $67.61 / $199.53	Professional		$28.84	$67.61	$199.53