Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $478.63	Professional		$72.44	$134.90	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $275.42 / $602.56	Professional		$41.69	$275.42	$602.56
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 $89.13 / $100.00 / $213.80	Professional		$89.13	$100.00	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $338.84 / $501.19	Facility		$302.00	$338.84	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $112.20 / $269.15	Professional		$40.74	$112.20	$269.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $112.20 / $269.15	Facility		$61.66	$112.20	$269.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $295.12	Professional		$223.87	$245.47	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $269.15	Facility		$61.66	$109.65	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $602.56	Professional		$74.13	$162.18	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $302.00	Professional		$117.49	$208.93	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $512.86	Facility		$154.88	$154.88	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $173.78 / $602.56	Professional		$38.90	$173.78	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $398.11 / $524.81	Professional		$154.88	$398.11	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $229.09	Professional		$58.88	$87.10	$229.09