Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $234.42	Facility		$147.91	$151.36	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $501.19	Professional		$147.91	$199.53	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $177.83	Professional		$147.91	$158.49	$177.83
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 $165.96 / $281.84 / $489.78	Facility		$165.96	$281.84	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $173.78	Professional		$123.03	$138.04	$173.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $177.83	Facility		$72.44	$138.04	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $177.83	Facility		$72.44	$138.04	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $234.42	Professional		$147.91	$165.96	$234.42
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 $102.33 / $162.18 / $218.78	Professional		$102.33	$162.18	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $165.96 / $524.81	Facility		$151.36	$165.96	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $177.83	Professional		$144.54	$144.54	$177.83
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 $147.91 / $165.96 / $251.19	Professional		$147.91	$165.96	$251.19