Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $302.00	Facility		$131.83	$245.47	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $131.83	Professional		$72.44	$89.13	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $295.12 / $302.00	Facility		$234.42	$295.12	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $389.05	Professional		$43.65	$43.65	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $354.81 / $562.34	Facility		$302.00	$354.81	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $338.84	Professional		$125.89	$158.49	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $218.78 / $645.65	Facility		$70.79	$218.78	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $218.78	Facility		$54.95	$102.33	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $204.17	Professional		$54.95	$67.61	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $93.33 / $281.84	Professional		$33.11	$93.33	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $363.08	Professional		$141.25	$257.04	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $524.81	Facility		$218.78	$218.78	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Professional		$52.48	$52.48	$53.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $234.42	Professional		$83.18	$83.18	$234.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $323.59 / $602.56	Professional		$83.18	$323.59	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $131.83	Facility		$60.26	$87.10	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $213.80	Professional		$47.86	$66.07	$213.80