Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $676.08 / $1,174.90	Facility		$61.66	$676.08	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $83.18 / $229.09	Professional		$37.15	$83.18	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $169.82 / $446.68	Professional	50	$79.43	$169.82	$446.68
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 $51.29 / $104.71 / $239.88	Professional		$51.29	$104.71	$239.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $154.88 / $363.08	Professional	50	$79.43	$154.88	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $41.69 / $58.88	Facility		$34.67	$41.69	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $269.15	Facility		$144.54	$169.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $144.54 / $257.04	Professional		$58.88	$144.54	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $3,162.28	Facility		$37.15	$69.18	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $151.36	Professional		$66.07	$100.00	$151.36
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $151.36 / $229.09	Professional	50	$100.00	$151.36	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $1,513.56	Facility		$38.90	$75.86	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $407.38	Professional		$56.23	$114.82	$407.38
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $141.25 / $144.54	Professional	50	$141.25	$141.25	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $190.55	Professional		$63.10	$112.20	$190.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $346.74 / $2,187.76	Facility		$58.88	$346.74	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $251.19 / $398.11	Professional		$64.57	$251.19	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $354.81	Professional		$100.00	$234.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $186.21	Professional		$43.65	$74.13	$186.21