Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $912.01	Facility		$162.18	$204.17	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $331.13	Professional		$81.28	$117.49	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $371.54 / $380.19	Facility		$295.12	$371.54	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $549.54	Professional		$54.95	$54.95	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $346.74	Facility		$138.04	$204.17	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $190.55	Professional		$138.04	$151.36	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $436.52 / $707.95	Facility		$380.19	$436.52	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $426.58	Professional		$158.49	$269.15	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $562.34 / $794.33	Facility		$151.36	$562.34	$794.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $912.01	Professional		$812.83	$812.83	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $478.63	Facility		$123.03	$165.96	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $691.83	Professional		$61.66	$81.28	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $125.89	Professional		$54.95	$70.79	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $446.68	Professional		$223.87	$323.59	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $645.65 / $645.65	Facility		$275.42	$645.65	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $691.83 / $691.83	Professional		$66.07	$691.83	$691.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $295.12	Professional		$138.04	$138.04	$295.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $354.81 / $741.31	Professional		$138.04	$354.81	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $165.96	Facility		$109.65	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $223.87	Professional		$57.54	$81.28	$223.87