Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $158.49 / $194.98	Facility		$85.11	$158.49	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $85.11	Professional		$48.98	$57.54	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $190.55 / $194.98	Facility		$154.88	$190.55	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $251.19	Professional		$28.18	$28.18	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $363.08	Facility		$194.98	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $223.87	Professional		$81.28	$102.33	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $141.25 / $416.87	Facility		$46.77	$141.25	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $338.84	Facility		$46.77	$64.57	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $128.82	Professional		$38.02	$43.65	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $107.15	Professional		$33.11	$64.57	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $234.42	Professional		$91.20	$181.97	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $338.84	Facility		$141.25	$141.25	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $51.29	Professional		$34.67	$34.67	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $194.98	Professional		$151.36	$151.36	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $389.05	Professional		$194.98	$208.93	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $85.11	Facility		$39.81	$57.54	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $138.04	Professional		$30.90	$42.66	$138.04