Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $251.19	Facility		$109.65	$204.17	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $109.65	Professional		$69.18	$81.28	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $251.19	Facility		$194.98	$245.47	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $363.08	Professional		$44.67	$44.67	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $467.74	Facility		$251.19	$295.12	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $281.84	Professional		$104.71	$131.83	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $199.53 / $724.44	Facility		$69.18	$199.53	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $436.52	Facility		$69.18	$81.28	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $208.93	Professional		$53.70	$75.86	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $85.11 / $323.59	Professional		$32.36	$85.11	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $316.23	Professional		$117.49	$234.42	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $436.52	Facility		$181.97	$181.97	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $100.00	Professional		$47.86	$58.88	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $194.98	Professional		$93.33	$93.33	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $363.08 / $562.34	Professional		$93.33	$363.08	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $109.65	Facility		$69.18	$81.28	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $218.78	Professional		$45.71	$74.13	$218.78