Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $346.74	Facility		$151.36	$281.84	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $158.49	Professional		$95.50	$112.20	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $346.74	Facility		$269.15	$338.84	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $501.19	Professional		$61.66	$61.66	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $389.05	Professional		$144.54	$181.97	$389.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $275.42 / $1,000.00	Facility		$79.43	$275.42	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $602.56	Facility		$79.43	$112.20	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $281.84	Professional		$74.13	$102.33	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $107.15 / $257.04	Professional		$33.11	$107.15	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $524.81	Professional		$162.18	$323.59	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $602.56	Facility		$251.19	$251.19	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $123.03	Professional		$63.10	$66.07	$123.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $269.15	Professional		$128.82	$128.82	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $363.08 / $691.83	Professional		$128.82	$363.08	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $151.36	Facility		$95.50	$112.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $281.84	Professional		$63.10	$100.00	$281.84