Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $229.09 / $281.84	Facility		$125.89	$229.09	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $257.04	Professional		$87.10	$125.89	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $389.05	Professional		$112.20	$165.96	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $144.54	Facility		$107.15	$134.90	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $141.25	Professional		$107.15	$114.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $380.19 / $616.60	Facility		$331.13	$380.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $346.74	Professional		$107.15	$257.04	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $138.04 / $323.59	Facility		$107.15	$138.04	$323.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $331.13	Professional		$213.80	$257.04	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $331.13	Facility		$102.33	$147.91	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $524.81	Professional		$66.07	$144.54	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $380.19	Professional		$186.21	$269.15	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $758.58 / $758.58	Facility		$269.15	$758.58	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $758.58	Professional		$77.62	$218.78	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $416.87	Professional		$120.23	$263.03	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $208.93	Facility		$158.49	$158.49	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $389.05	Professional		$67.61	$151.36	$389.05