Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $380.19 / $467.74	Facility		$204.17	$380.19	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $257.04	Professional		$100.00	$147.91	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $467.74	Facility		$363.08	$457.09	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $676.08	Professional		$67.61	$67.61	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Facility		$169.82	$169.82	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $239.88	Professional		$169.82	$169.82	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $870.96	Facility		$467.74	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $524.81	Professional		$194.98	$407.38	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $524.81 / $758.58	Facility		$186.21	$524.81	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,122.02	Professional		$1,023.29	$1,023.29	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $588.84	Facility		$151.36	$204.17	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $616.60	Professional		$70.79	$102.33	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $117.49	Professional		$54.95	$70.79	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $562.34	Professional		$245.47	$398.11	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $812.83 / $812.83	Facility		$338.84	$812.83	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $851.14 / $851.14	Professional		$204.17	$851.14	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $363.08	Professional		$97.72	$97.72	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $933.25	Professional		$97.72	$97.72	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $204.17	Facility		$134.90	$134.90	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $257.04	Professional		$70.79	$102.33	$257.04