Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $501.19 / $1,348.96	Facility		$89.13	$501.19	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $426.58	Professional		$39.81	$74.13	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $245.47	Professional		$43.65	$85.11	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Professional		$89.13	$89.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $208.93	Facility		$112.20	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $173.78	Professional		$72.44	$138.04	$173.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,570.40 / $4,786.30	Facility		$56.23	$2,570.40	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $131.83	Professional		$93.33	$114.82	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $1,202.26 / $2,041.74	Facility		$51.29	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $398.11	Professional		$56.23	$100.00	$398.11
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 $66.07 / $104.71 / $147.91	Professional		$66.07	$104.71	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,288.25 / $1,288.25	Facility		$169.82	$1,288.25	$1,288.25
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $22.39 / $22.39 / $54.95	Facility	53	$22.39	$22.39	$54.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $537.03	Professional		$81.28	$223.87	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $309.03	Professional		$199.53	$302.00	$309.03
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 $52.48 / $97.72 / $199.53	Professional		$52.48	$97.72	$199.53