Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $512.86	Professional		$52.48	$107.15	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $190.55 / $436.52	Professional		$33.11	$190.55	$436.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $102.33	Facility		$57.54	$69.18	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $134.90	Professional		$56.23	$61.66	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $316.23	Facility		$186.21	$213.80	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $186.21	Professional		$30.20	$77.62	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $251.19	Facility		$54.95	$70.79	$251.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $181.97	Professional		$162.18	$162.18	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $75.86 / $263.03	Facility		$54.95	$75.86	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $954.99	Professional		$53.70	$147.91	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $85.11	Professional		$32.36	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $204.17	Professional		$102.33	$147.91	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $389.05	Facility		$138.04	$138.04	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $186.21 / $1,000.00	Professional		$30.20	$186.21	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $398.11	Professional		$204.17	$263.03	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $199.53	Professional		$43.65	$63.10	$199.53