Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $467.74	Professional		$74.13	$114.82	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $251.19 / $575.44	Professional		$40.74	$251.19	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $138.04	Facility		$77.62	$95.50	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $186.21	Professional		$75.86	$85.11	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $426.58	Facility		$251.19	$288.40	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $104.71 / $245.47	Professional		$40.74	$104.71	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $331.13	Facility		$74.13	$95.50	$331.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Professional		$223.87	$223.87	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $346.74	Facility		$74.13	$104.71	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $181.97 / $1,174.90	Professional		$67.61	$181.97	$1,174.90
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 $138.04 / $199.53 / $275.42	Professional		$138.04	$199.53	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $524.81	Facility		$169.82	$169.82	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $245.47 / $1,202.26	Professional		$40.74	$245.47	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $512.86	Professional		$263.03	$323.59	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $263.03	Professional		$58.88	$85.11	$263.03