Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $107.15	Facility		$63.10	$83.18	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $588.84	Professional		$67.61	$93.33	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $316.23	Professional		$81.28	$134.90	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $75.86 / $134.90	Facility		$53.70	$75.86	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $208.93	Professional		$81.28	$125.89	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $512.86	Facility		$263.03	$346.74	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $295.12	Professional		$74.13	$104.71	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $144.54	Facility		$72.44	$100.00	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $234.42	Professional		$104.71	$151.36	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $154.88	Facility		$72.44	$97.72	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $630.96	Professional		$100.00	$186.21	$630.96
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 $91.20 / $144.54 / $234.42	Professional		$91.20	$144.54	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $489.78	Facility		$177.83	$177.83	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $630.96	Professional		$70.79	$102.33	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $309.03 / $512.86	Professional		$97.72	$309.03	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $112.20	Facility		$95.50	$95.50	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $309.03	Professional		$93.33	$134.90	$309.03