Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $707.95	Facility		$30.90	$66.07	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $281.84	Professional		$48.98	$123.03	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $660.69	Professional		$120.23	$186.21	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $125.89 / $199.53	Facility		$53.70	$125.89	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $158.49	Professional		$48.98	$104.71	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $389.05	Facility		$218.78	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $575.44	Professional		$120.23	$239.88	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $245.47	Facility		$109.65	$144.54	$245.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $537.03	Professional		$295.12	$331.13	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $120.23 / $251.19	Facility		$43.65	$120.23	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $812.83	Professional		$144.54	$257.04	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $275.42	Professional		$32.36	$64.57	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $416.87	Professional		$162.18	$316.23	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $812.83 / $812.83	Facility		$288.40	$812.83	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $645.65 / $812.83	Professional		$181.97	$645.65	$812.83
Security Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $426.58	Facility		$288.40	$389.05	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $64.57	Professional		$44.67	$52.48	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $467.74	Professional		$134.90	$204.17	$467.74