Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $251.19	Facility		$47.86	$91.20	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $128.82 / $512.86	Professional		$43.65	$128.82	$512.86
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 $79.43 / $173.78 / $446.68	Professional		$79.43	$173.78	$446.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $275.42 / $676.08	Professional	50	$117.49	$275.42	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $54.95 / $60.26	Facility		$45.71	$54.95	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $147.91	Professional		$112.20	$120.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $616.60	Facility		$331.13	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $131.83 / $338.84	Professional		$54.95	$131.83	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $141.25 / $3,311.31	Facility		$47.86	$141.25	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $363.08	Professional		$89.13	$169.82	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $141.25 / $1,659.59	Facility		$48.98	$141.25	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $524.81	Professional		$102.33	$234.42	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $389.05	Professional		$79.43	$154.88	$389.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,584.89 / $1,584.89	Facility		$316.23	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $870.96	Professional		$53.70	$138.04	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $537.03	Professional		$114.82	$229.09	$537.03
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 $54.95 / $131.83 / $407.38	Professional		$54.95	$131.83	$407.38