Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $323.59	Facility		$134.90	$229.09	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $467.74	Professional		$112.20	$144.54	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $165.96	Professional		$144.54	$144.54	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $446.68	Facility		$147.91	$257.04	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $169.82	Professional		$125.89	$147.91	$169.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $165.96	Facility		$87.10	$134.90	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $165.96	Facility		$87.10	$134.90	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $213.80	Professional		$131.83	$151.36	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $131.83	Professional		$54.95	$64.57	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $269.15	Professional		$104.71	$199.53	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $147.91 / $478.63	Facility		$134.90	$147.91	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $302.00	Professional		$114.82	$134.90	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $229.09	Professional		$131.83	$151.36	$229.09