Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $281.84 / $575.44	Facility		$58.88	$281.84	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $181.97	Professional		$32.36	$40.74	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $117.49	Facility		$91.20	$114.82	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $177.83	Professional		$21.38	$21.38	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $120.23	Facility		$42.66	$64.57	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $60.26	Professional		$42.66	$46.77	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $218.78	Facility		$117.49	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $134.90	Professional		$48.98	$102.33	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $234.42 / $371.54	Facility		$51.29	$234.42	$371.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Professional		$257.04	$257.04	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $288.40	Facility		$38.90	$57.54	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $416.87	Professional		$25.12	$37.15	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $181.97	Professional		$74.13	$109.65	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $204.17 / $204.17	Facility		$91.20	$204.17	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $239.88 / $416.87	Professional		$51.29	$239.88	$416.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $154.88	Professional		$91.20	$91.20	$154.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $263.03	Professional		$154.88	$169.82	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $51.29	Facility		$38.02	$38.02	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $85.11	Professional		$17.78	$33.88	$85.11