Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $257.04	Facility		$107.15	$141.25	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $588.84	Professional		$112.20	$169.82	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $446.68	Professional		$151.36	$223.87	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $269.15	Facility		$147.91	$169.82	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $309.03	Professional		$128.82	$158.49	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $407.38	Professional		$117.49	$281.84	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $275.42	Facility		$134.90	$162.18	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $407.38	Professional		$275.42	$346.74	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $275.42	Facility		$134.90	$162.18	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $1,000.00	Professional		$162.18	$295.12	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $95.50	Professional		$32.36	$50.12	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $467.74	Professional		$213.80	$331.13	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,000.00 / $1,000.00	Facility		$257.04	$1,000.00	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $812.83 / $1,000.00	Professional		$131.83	$812.83	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $478.63	Professional		$302.00	$467.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Facility		$131.83	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $446.68	Professional		$158.49	$239.88	$446.68