Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $1,905.46	Facility		$199.53	$346.74	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $776.25	Professional		$151.36	$309.03	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $416.87 / $812.83	Professional		$208.93	$416.87	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,258.93	Facility		$676.08	$794.33	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $891.25	Professional		$275.42	$512.86	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $389.05 / $6,760.83	Facility		$169.82	$389.05	$6,760.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $691.83	Professional		$354.81	$457.09	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $389.05 / $7,585.78	Facility		$169.82	$389.05	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $1,905.46	Professional		$199.53	$331.13	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $851.14	Professional		$288.40	$512.86	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,288.25 / $1,288.25	Facility		$426.58	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $537.03 / $1,862.09	Professional		$234.42	$537.03	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $794.33	Professional		$281.84	$524.81	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $19,498.45	Facility		$1,778.28	$4,786.30	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $660.69	Professional		$144.54	$269.15	$660.69