Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $186.21	Facility		$79.43	$151.36	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $154.88	Professional		$51.29	$60.26	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $186.21	Facility		$144.54	$181.97	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $269.15	Professional		$33.11	$33.11	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $346.74	Facility		$186.21	$213.80	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $208.93	Professional		$77.62	$95.50	$208.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $147.91 / $537.03	Facility		$54.95	$147.91	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $60.26 / $316.23	Facility		$53.70	$60.26	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $151.36	Professional		$39.81	$54.95	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $138.04	Professional		$32.36	$64.57	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $575.44	Professional		$87.10	$169.82	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $316.23	Facility		$134.90	$134.90	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $58.88	Professional		$35.48	$35.48	$58.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $144.54	Professional		$69.18	$69.18	$144.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $269.15 / $416.87	Professional		$69.18	$269.15	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $81.28	Facility		$51.29	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $151.36	Professional		$28.18	$54.95	$151.36