Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $478.63 / $724.44	Facility		$125.89	$478.63	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $338.84	Professional		$61.66	$87.10	$338.84
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 $45.71 / $45.71 / $380.19	Professional		$45.71	$45.71	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $123.03	Facility		$91.20	$91.20	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $128.82	Professional		$91.20	$91.20	$128.82
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 / $218.78 / $288.40	Professional		$104.71	$218.78	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $512.86 / $724.44	Facility		$100.00	$512.86	$724.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $616.60	Professional		$549.54	$549.54	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $575.44	Facility		$87.10	$162.18	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $457.09	Professional		$53.70	$75.86	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $91.20	Professional		$50.12	$64.57	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $316.23	Professional		$158.49	$234.42	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $436.52 / $436.52	Facility		$199.53	$436.52	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $457.09 / $457.09	Professional		$109.65	$457.09	$457.09
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 / $93.33 / $501.19	Professional		$93.33	$93.33	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Facility		$81.28	$81.28	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $177.83	Professional		$38.90	$70.79	$177.83