Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $295.12	Facility		$97.72	$147.91	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $138.04	Professional		$60.26	$97.72	$138.04
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 / $123.03	Professional		$89.13	$89.13	$123.03
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 $74.13 / $97.72 / $213.80	Facility		$74.13	$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 $58.88 / $79.43 / $97.72	Facility		$58.88	$79.43	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $169.82	Professional		$97.72	$102.33	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $154.88 / $316.23	Professional		$25.12	$154.88	$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 $42.66 / $131.83 / $162.18	Professional		$42.66	$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 $97.72 / $102.33 / $162.18	Professional		$97.72	$102.33	$162.18