Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $104.71 / $194.98	Facility		$50.12	$104.71	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $177.83	Professional		$54.95	$97.72	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $218.78	Facility		$181.97	$208.93	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $120.23	Professional		$89.13	$89.13	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $302.00	Facility		$95.50	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $257.04	Professional		$100.00	$125.89	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $97.72 / $213.80	Facility		$95.50	$97.72	$213.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $102.33	Facility		$79.43	$83.18	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $154.88	Professional		$87.10	$102.33	$154.88
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 $39.81 / $151.36 / $316.23	Professional		$39.81	$151.36	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $95.50 / $263.03	Facility		$87.10	$95.50	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $162.18	Professional		$81.28	$131.83	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Facility		$83.18	$83.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $147.91	Professional		$87.10	$97.72	$147.91