Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $398.11	Facility		$134.90	$239.88	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $478.63	Professional		$131.83	$173.78	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $295.12	Facility		$245.47	$288.40	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $162.18	Professional		$120.23	$120.23	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $275.42 / $478.63	Facility		$131.83	$275.42	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $346.74	Professional		$131.83	$169.82	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $134.90 / $194.98	Facility		$44.67	$134.90	$194.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $134.90 / $245.47	Facility		$44.67	$134.90	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $208.93	Professional		$117.49	$141.25	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $436.52	Professional		$134.90	$302.00	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $416.87	Facility		$120.23	$131.83	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $223.87	Professional		$158.49	$181.97	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $134.90	Facility		$125.89	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $204.17	Professional		$117.49	$131.83	$204.17