Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $389.05 / $794.33	Facility		$169.82	$389.05	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $380.19	Professional		$93.33	$134.90	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $389.05	Facility		$309.03	$380.19	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $602.56	Professional		$95.50	$95.50	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $363.08	Facility		$141.25	$213.80	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $199.53	Professional		$141.25	$158.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $363.08 / $446.68	Professional		$162.18	$363.08	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $707.95 / $1,023.29	Facility		$158.49	$707.95	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $954.99	Professional		$851.14	$851.14	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $389.05 / $575.44	Facility		$158.49	$389.05	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $436.52	Professional		$77.62	$141.25	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $141.25	Professional		$54.95	$70.79	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $489.78	Professional		$245.47	$354.81	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $676.08 / $676.08	Facility		$288.40	$676.08	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $707.95 / $707.95	Professional		$85.11	$707.95	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $302.00	Professional		$131.83	$131.83	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $436.52 / $870.96	Professional		$131.83	$436.52	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $169.82	Facility		$114.82	$114.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $275.42	Professional		$60.26	$97.72	$275.42