Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $204.17 / $501.19	Facility		$77.62	$204.17	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $281.84	Professional		$48.98	$66.07	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $177.83	Facility		$141.25	$177.83	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $269.15	Professional		$32.36	$32.36	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $89.13	Facility		$66.07	$66.07	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $338.84	Facility		$181.97	$208.93	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $204.17	Professional		$75.86	$158.49	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $363.08 / $524.81	Facility		$72.44	$363.08	$524.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $436.52	Professional		$389.05	$389.05	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $114.82 / $407.38	Facility		$61.66	$114.82	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $323.59	Professional		$38.02	$53.70	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $75.86	Professional		$54.95	$66.07	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $223.87	Professional		$114.82	$165.96	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $309.03	Facility		$141.25	$309.03	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $323.59 / $323.59	Professional		$77.62	$323.59	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $138.04	Professional		$67.61	$67.61	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $190.55 / $354.81	Professional		$67.61	$190.55	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Facility		$57.54	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $125.89	Professional		$27.54	$50.12	$125.89