Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $281.84	Facility		$123.03	$229.09	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $123.03	Professional		$77.62	$91.20	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $281.84	Facility		$223.87	$275.42	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $407.38	Professional		$51.29	$51.29	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $524.81	Facility		$281.84	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $323.59	Professional		$117.49	$147.91	$323.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $223.87 / $812.83	Facility		$91.20	$223.87	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $489.78	Facility		$81.28	$97.72	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $234.42	Professional		$60.26	$85.11	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.11 / $213.80	Professional		$33.11	$85.11	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $478.63	Professional		$131.83	$263.03	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $489.78	Facility		$204.17	$204.17	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $107.15	Professional		$54.95	$60.26	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $218.78	Professional		$107.15	$107.15	$218.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $407.38 / $630.96	Professional		$107.15	$407.38	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $123.03	Facility		$77.62	$91.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $239.88	Professional		$44.67	$83.18	$239.88