Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $489.78	Facility		$141.25	$144.54	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $223.87	Professional		$114.82	$138.04	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $467.74	Professional		$128.82	$213.80	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $234.42	Facility		$123.03	$186.21	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $288.40	Professional		$141.25	$173.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $660.69	Facility		$354.81	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $467.74	Professional		$144.54	$302.00	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $263.03	Facility		$123.03	$147.91	$263.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $371.54	Professional		$234.42	$275.42	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $269.15	Facility		$123.03	$147.91	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $316.23 / $1,258.93	Professional		$154.88	$316.23	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $436.52	Professional		$173.78	$288.40	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $831.76	Facility		$302.00	$302.00	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $426.58 / $1,258.93	Professional		$141.25	$426.58	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $660.69 / $741.31	Professional		$263.03	$660.69	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $478.63	Professional		$141.25	$223.87	$478.63