Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $707.95 / $1,047.13	Facility		$251.19	$707.95	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $331.13	Professional		$60.26	$128.82	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $575.44	Professional		$77.62	$125.89	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $114.82 / $194.98	Facility		$33.11	$114.82	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $120.23 / $154.88	Professional		$34.67	$120.23	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $371.54	Facility		$199.53	$229.09	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $269.15 / $524.81	Professional		$112.20	$269.15	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $251.19	Facility		$93.33	$151.36	$251.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $275.42	Professional		$141.25	$147.91	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $151.36 / $524.81	Facility		$87.10	$151.36	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $812.83	Professional		$81.28	$181.97	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $204.17	Professional		$58.88	$109.65	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $812.83	Facility		$295.12	$295.12	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $524.81 / $812.83	Professional		$181.97	$524.81	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Security Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $269.15	Facility		$199.53	$239.88	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $275.42	Professional		$120.23	$229.09	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $354.81	Professional		$75.86	$154.88	$354.81