Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $467.74 / $794.33	Facility		$177.83	$467.74	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $537.03	Professional		$158.49	$186.21	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $380.19 / $398.11	Facility		$331.13	$380.19	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $218.78	Professional		$169.82	$169.82	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $602.56	Facility		$173.78	$346.74	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $457.09	Professional		$181.97	$223.87	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $389.05	Facility		$177.83	$177.83	$389.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $389.05	Facility		$117.49	$177.83	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $281.84	Professional		$154.88	$186.21	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $416.87 / $616.60	Professional		$177.83	$416.87	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $562.34	Facility		$158.49	$173.78	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $295.12	Professional		$173.78	$239.88	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Facility		$169.82	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $269.15	Professional		$154.88	$177.83	$269.15