Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $316.23 / $3,090.30	Facility		$67.61	$316.23	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $316.23	Professional		$72.44	$141.25	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $588.84	Professional		$131.83	$245.47	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $190.55	Professional		$141.25	$151.36	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $416.87	Professional		$93.33	$213.80	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $239.88 / $3,981.07	Facility		$81.28	$239.88	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $446.68	Professional		$151.36	$269.15	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $239.88 / $5,248.07	Facility		$83.18	$239.88	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $2,570.40	Professional		$141.25	$257.04	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $524.81	Professional		$147.91	$263.03	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,623.41	Facility		$3,801.89	$3,801.89	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $3,019.95	Professional		$87.10	$177.83	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $660.69	Professional		$181.97	$354.81	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,456.54	Facility		$2,754.23	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $501.19	Professional		$91.20	$181.97	$501.19