Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $144.54 / $457.09	Facility		$104.71	$144.54	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $331.13	Professional		$95.50	$138.04	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Professional		$104.71	$104.71	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $338.84	Facility		$114.82	$194.98	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $138.04	Professional		$95.50	$120.23	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $138.04	Facility		$72.44	$109.65	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $190.55	Facility		$100.00	$138.04	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $158.49	Professional		$97.72	$112.20	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $85.11	Professional		$15.14	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $234.42	Professional		$104.71	$162.18	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $354.81	Facility		$104.71	$114.82	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $128.82	Professional		$102.33	$104.71	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $177.83	Professional		$102.33	$114.82	$177.83