Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $645.65 / $794.33	Facility		$346.74	$645.65	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $446.68	Professional		$173.78	$245.47	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $794.33	Facility		$630.96	$776.25	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $1,174.90	Professional		$117.49	$117.49	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $389.05	Facility		$288.40	$288.40	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $407.38	Professional		$288.40	$288.40	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,479.11	Facility		$794.33	$933.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $691.83 / $912.01	Professional		$331.13	$691.83	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,202.26 / $1,698.24	Facility		$323.59	$1,202.26	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,949.84	Professional		$1,737.80	$1,737.80	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $1,023.29	Facility		$263.03	$346.74	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $1,445.44	Professional		$131.83	$173.78	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $954.99	Professional		$501.19	$691.83	$954.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,380.38 / $1,380.38	Facility		$588.84	$1,380.38	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,445.44 / $1,445.44	Professional		$346.74	$1,445.44	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $616.60	Professional		$218.78	$218.78	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,584.89	Professional		$218.78	$218.78	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $346.74	Facility		$234.42	$234.42	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $478.63	Professional		$123.03	$173.78	$478.63