Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $1,071.52	Facility		$245.47	$371.54	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $316.23	Professional		$100.00	$123.03	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $389.05	Facility		$309.03	$380.19	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $575.44	Professional		$57.54	$57.54	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $363.08	Facility		$141.25	$213.80	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $199.53	Professional		$141.25	$158.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $446.68	Professional		$162.18	$295.12	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $602.56 / $912.01	Facility		$158.49	$602.56	$912.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $954.99	Professional		$851.14	$851.14	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $501.19	Facility		$128.82	$169.82	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $707.95	Professional		$64.57	$85.11	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $131.83	Professional		$54.95	$70.79	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $467.74	Professional		$229.09	$338.84	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $676.08 / $676.08	Facility		$288.40	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $575.44 / $707.95	Professional		$67.61	$575.44	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $302.00	Professional		$141.25	$141.25	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $354.81 / $776.25	Professional		$141.25	$354.81	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $169.82	Facility		$114.82	$114.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $234.42	Professional		$60.26	$85.11	$234.42