Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $199.53 / $851.14	Facility		$85.11	$199.53	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $85.11	Professional		$50.12	$57.54	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $199.53	Facility		$154.88	$194.98	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $251.19	Professional		$28.84	$28.84	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $371.54	Facility		$199.53	$229.09	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $223.87	Professional		$83.18	$104.71	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $144.54 / $426.58	Facility		$46.77	$144.54	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $346.74	Facility		$46.77	$64.57	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $128.82	Professional		$36.31	$43.65	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $85.11	Professional		$36.31	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $239.88	Professional		$93.33	$169.82	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $346.74	Facility		$144.54	$144.54	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $38.02	Professional		$32.36	$32.36	$38.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $154.88	Professional		$72.44	$72.44	$154.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $239.88 / $446.68	Professional		$72.44	$239.88	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $87.10	Facility		$43.65	$57.54	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $141.25	Professional		$30.20	$43.65	$141.25