Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $501.19 / $851.14	Facility		$117.49	$501.19	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $426.58	Professional		$60.26	$79.43	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $234.42	Facility		$181.97	$229.09	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $354.81	Professional		$41.69	$41.69	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $239.88	Facility		$85.11	$128.82	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $120.23	Professional		$85.11	$93.33	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $436.52	Facility		$234.42	$275.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $263.03	Professional		$97.72	$204.17	$263.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $426.58 / $676.08	Facility		$93.33	$426.58	$676.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $562.34	Professional		$512.86	$512.86	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $407.38	Facility		$75.86	$114.82	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $691.83	Professional		$50.12	$74.13	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $165.96	Professional		$33.11	$64.57	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $295.12	Professional		$147.91	$199.53	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $407.38 / $407.38	Facility		$181.97	$407.38	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $478.63 / $691.83	Professional		$57.54	$478.63	$691.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Professional		$181.97	$181.97	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $524.81	Professional		$186.21	$338.84	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $102.33	Facility		$75.86	$75.86	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $165.96	Professional		$35.48	$67.61	$165.96