Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $229.09 / $478.63	Facility		$85.11	$229.09	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $81.28	Professional		$43.65	$57.54	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $169.82	Facility		$134.90	$165.96	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $234.42	Professional		$31.62	$31.62	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $162.18 / $165.96	Facility		$35.48	$162.18	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $316.23	Facility		$169.82	$199.53	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $194.98	Professional		$70.79	$89.13	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $125.89 / $467.74	Facility		$52.48	$125.89	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $218.78 / $331.13	Facility		$51.29	$218.78	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $295.12	Professional		$37.15	$61.66	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $85.11	Professional		$30.90	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $218.78	Professional		$79.43	$151.36	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $346.74	Facility		$123.03	$123.03	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $36.31	Professional		$30.90	$33.11	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $131.83	Professional		$60.26	$60.26	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $338.84	Professional		$60.26	$181.97	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $74.13	Facility		$43.65	$51.29	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $138.04	Professional		$28.18	$47.86	$138.04