Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $177.83	Facility		$77.62	$144.54	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $77.62	Professional		$48.98	$54.95	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $177.83	Facility		$138.04	$173.78	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $257.04	Professional		$32.36	$32.36	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $331.13	Facility		$177.83	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $204.17	Professional		$74.13	$93.33	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $141.25 / $512.86	Facility		$57.54	$141.25	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $309.03	Facility		$51.29	$61.66	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $147.91	Professional		$38.90	$53.70	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $229.09	Professional		$32.36	$64.57	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $239.88	Professional		$83.18	$165.96	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $309.03	Facility		$128.82	$128.82	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $63.10	Professional		$34.67	$42.66	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $138.04	Professional		$66.07	$66.07	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $257.04 / $398.11	Professional		$66.07	$257.04	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $77.62	Facility		$48.98	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $147.91	Professional		$32.36	$52.48	$147.91