Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $181.97 / $302.00	Facility		$44.67	$181.97	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $57.54 / $263.03	Professional		$25.70	$57.54	$263.03
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 $39.81 / $75.86 / $204.17	Professional		$39.81	$75.86	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $218.78	Facility		$117.49	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $162.18	Professional		$40.74	$87.10	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $87.10 / $3,801.89	Facility		$25.12	$87.10	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $128.82	Professional		$52.48	$77.62	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $190.55 / $1,778.28	Facility		$27.54	$190.55	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $426.58	Professional		$47.86	$100.00	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $158.49	Professional		$42.66	$77.62	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,288.25 / $1,288.25	Facility		$138.04	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $95.50 / $436.52	Professional		$33.88	$95.50	$436.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $275.42	Professional		$109.65	$194.98	$275.42
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 $31.62 / $67.61 / $177.83	Professional		$31.62	$67.61	$177.83