Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $223.87	Facility		$79.43	$154.88	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $288.40	Professional		$74.13	$123.03	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $257.04	Professional		$87.10	$141.25	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $144.54	Facility		$79.43	$104.71	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $251.19	Professional		$112.20	$151.36	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $588.84	Facility		$281.84	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $323.59	Professional		$83.18	$169.82	$323.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $199.53	Facility		$67.61	$107.15	$199.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $316.23	Professional		$151.36	$218.78	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $213.80	Facility		$66.07	$107.15	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $741.31	Professional		$109.65	$204.17	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $112.20	Professional		$32.36	$60.26	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $346.74	Professional		$117.49	$208.93	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $524.81	Facility		$154.88	$154.88	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $741.31	Professional		$83.18	$194.98	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $199.53	Professional		$141.25	$141.25	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $354.81	Professional		$144.54	$229.09	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $239.88	Professional		$83.18	$128.82	$239.88