Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $186.21 / $3,467.37	Facility		$0.83	$186.21	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $263.03	Professional		$48.98	$89.13	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $295.12 / $489.78	Professional	50	$128.82	$295.12	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $251.19	Professional		$70.79	$109.65	$251.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $169.82 / $380.19	Professional	50	$112.20	$169.82	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $457.09	Facility		$245.47	$281.84	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $416.87	Professional		$87.10	$204.17	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $107.15 / $3,162.28	Facility		$53.70	$107.15	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $251.19	Professional		$93.33	$162.18	$251.19
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $239.88 / $371.54	Professional	50	$141.25	$239.88	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $117.49 / $1,659.59	Facility		$56.23	$117.49	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $2,511.89	Professional		$95.50	$173.78	$2,511.89
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 $87.10 / $158.49 / $323.59	Professional		$87.10	$158.49	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $2,630.27	Facility		$131.83	$131.83	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $346.74 / $2,511.89	Professional		$97.72	$346.74	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $537.03	Professional		$158.49	$309.03	$537.03
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 $57.54 / $114.82 / $316.23	Professional		$57.54	$114.82	$316.23