Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $407.38	Facility		$177.83	$331.13	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $177.83	Professional		$112.20	$131.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $407.38	Facility		$316.23	$398.11	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $588.84	Professional		$74.13	$74.13	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $467.74	Professional		$169.82	$213.80	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $1,174.90	Facility		$134.90	$323.59	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $707.95	Facility		$117.49	$138.04	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $338.84	Professional		$87.10	$123.03	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.11 / $407.38	Professional		$33.11	$85.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $933.25	Professional		$190.55	$380.19	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $707.95	Facility		$295.12	$295.12	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $141.25	Professional		$79.43	$83.18	$141.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $316.23	Professional		$151.36	$151.36	$316.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $812.83	Professional		$151.36	$151.36	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $177.83	Facility		$112.20	$131.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $338.84	Professional		$61.66	$120.23	$338.84