Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $371.54 / $478.63	Facility		$162.18	$371.54	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $162.18	Professional		$97.72	$114.82	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $371.54	Facility		$295.12	$363.08	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $549.54	Professional		$67.61	$67.61	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $691.83	Facility		$371.54	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $426.58	Professional		$154.88	$194.98	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $295.12 / $1,096.48	Facility		$107.15	$295.12	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $537.03	Facility		$102.33	$138.04	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $251.19	Professional		$57.54	$109.65	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.11 / $269.15	Professional		$33.11	$85.11	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $478.63	Professional		$173.78	$346.74	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Facility		$323.59	$323.59	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $89.13	Professional		$45.71	$45.71	$89.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $288.40	Professional		$141.25	$141.25	$288.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $741.31	Professional		$141.25	$141.25	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $162.18	Facility		$102.33	$120.23	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $302.00	Professional		$57.54	$109.65	$302.00