Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $501.19	Facility		$186.21	$257.04	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $1,513.56	Professional		$93.33	$223.87	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $524.81	Professional		$87.10	$141.25	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $125.89	Facility		$22.91	$32.36	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $93.33	Professional		$21.88	$24.55	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $354.81 / $407.38	Professional		$134.90	$354.81	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $398.11 / $1,584.89	Facility		$95.50	$398.11	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $190.55 / $562.34	Facility		$91.20	$190.55	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $316.23	Professional		$123.03	$218.78	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,570.40 / $2,570.40	Facility		$218.78	$2,570.40	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $457.09 / $1,258.93	Professional		$144.54	$457.09	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $302.00	Facility		$229.09	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $120.23	Professional		$91.20	$95.50	$120.23