Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $776.25	Facility		$338.84	$630.96	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $338.84	Professional		$186.21	$234.42	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $776.25	Facility		$616.60	$758.58	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $912.01	Professional		$114.82	$114.82	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,445.44	Facility		$776.25	$912.01	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $891.25	Professional		$331.13	$407.38	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $501.19 / $812.83	Facility		$89.13	$501.19	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $257.04 / $1,348.96	Facility		$89.13	$257.04	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $446.68	Professional		$77.62	$169.82	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $85.11 / $208.93	Professional		$32.36	$85.11	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $933.25	Professional		$363.08	$676.08	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,348.96	Facility		$575.44	$575.44	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $102.33	Professional		$57.54	$67.61	$102.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $602.56	Professional		$104.71	$104.71	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,548.82	Professional		$104.71	$104.71	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $338.84	Facility		$141.25	$229.09	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $512.86	Professional		$83.18	$169.82	$512.86