Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $186.21	Facility		$77.62	$102.33	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $407.38	Professional		$79.43	$131.83	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $309.03	Professional		$109.65	$158.49	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $194.98	Facility		$107.15	$123.03	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $223.87	Professional		$93.33	$114.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $288.40	Professional		$85.11	$194.98	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.03 / $199.53	Facility		$95.50	$123.03	$199.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $295.12	Professional		$199.53	$251.19	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.03 / $199.53	Facility		$95.50	$123.03	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $707.95	Professional		$112.20	$204.17	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $323.59	Professional		$154.88	$234.42	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $707.95 / $707.95	Facility		$186.21	$707.95	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $562.34 / $707.95	Professional		$95.50	$562.34	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $338.84	Professional		$208.93	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $123.03	Facility		$93.33	$93.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $309.03	Professional		$112.20	$169.82	$309.03