Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $524.81	Facility		$100.00	$234.42	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $323.59	Professional		$87.10	$114.82	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $114.82	Professional		$95.50	$100.00	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $331.13	Facility		$107.15	$190.55	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $114.82	Professional		$81.28	$93.33	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $114.82	Facility		$47.86	$91.20	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $114.82 / $213.80	Facility		$47.86	$114.82	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $151.36	Professional		$95.50	$107.15	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $54.95 / $85.11	Professional		$10.96	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $147.91	Professional		$57.54	$109.65	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $338.84	Facility		$97.72	$107.15	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $89.13	Professional		$72.44	$72.44	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $165.96	Professional		$95.50	$109.65	$165.96