Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $102.33 / $389.05	Facility		$91.20	$102.33	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $354.81	Professional		$77.62	$100.00	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $309.03	Professional		$83.18	$123.03	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $154.88	Facility		$64.57	$87.10	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $223.87	Professional		$87.10	$134.90	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $524.81	Facility		$263.03	$354.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $354.81	Professional		$72.44	$186.21	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $100.00 / $138.04	Facility		$81.28	$100.00	$138.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $263.03	Professional		$117.49	$169.82	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $151.36	Facility		$83.18	$100.00	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $616.60	Professional		$81.28	$154.88	$616.60
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 $112.20 / $165.96 / $281.84	Professional		$112.20	$165.96	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $537.03	Facility		$213.80	$213.80	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $616.60	Professional		$67.61	$114.82	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $354.81	Professional		$97.72	$177.83	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $87.10	Facility		$77.62	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $302.00	Professional		$81.28	$125.89	$302.00