Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $154.88 / $288.40	Facility		$75.86	$154.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $223.87	Professional		$70.79	$107.15	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $165.96	Facility		$138.04	$162.18	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $147.91 / $251.19	Facility		$81.28	$147.91	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $194.98	Professional		$75.86	$95.50	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $117.49	Facility		$61.66	$70.79	$117.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $229.09	Facility		$70.79	$74.13	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $123.03	Professional		$70.79	$83.18	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $85.11	Professional		$64.57	$75.86	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $234.42	Professional		$75.86	$158.49	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $245.47	Facility		$81.28	$85.11	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $125.89	Professional		$81.28	$102.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $81.28	Facility		$70.79	$70.79	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $125.89	Professional		$72.44	$81.28	$125.89