Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $245.47	Facility		$74.13	$147.91	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $257.04	Professional		$72.44	$117.49	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $100.00	Professional		$77.62	$85.11	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $257.04	Facility		$93.33	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $190.55	Professional		$74.13	$93.33	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $104.71	Facility		$48.98	$74.13	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $194.98	Facility		$58.88	$72.44	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $144.54	Professional		$83.18	$97.72	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $97.72	Professional		$64.57	$85.11	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $204.17	Professional		$74.13	$79.43	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $316.23	Facility		$85.11	$93.33	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $123.03	Professional		$81.28	$100.00	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $147.91	Professional		$85.11	$95.50	$147.91