Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $602.56	Facility		$91.20	$257.04	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $302.00	Professional		$69.18	$89.13	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $251.19	Professional		$70.79	$100.00	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $128.82	Facility		$69.18	$74.13	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $151.36	Professional		$69.18	$79.43	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $354.81	Facility		$190.55	$223.87	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $213.80	Professional		$81.28	$158.49	$213.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $144.54	Facility		$67.61	$85.11	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $213.80	Professional		$131.83	$147.91	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $218.78	Facility		$67.61	$91.20	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $467.74	Professional		$79.43	$125.89	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $234.42	Professional		$87.10	$169.82	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $467.74	Facility		$120.23	$169.82	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $467.74	Professional		$77.62	$138.04	$467.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $281.84 / $281.84	Professional		$114.82	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $245.47	Professional		$75.86	$114.82	$245.47