Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $251.19	Facility		$93.33	$181.97	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $338.84	Professional		$87.10	$144.54	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $288.40	Professional		$102.33	$162.18	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $173.78	Facility		$93.33	$123.03	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $281.84	Professional		$125.89	$169.82	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $660.69	Facility		$316.23	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $371.54	Professional		$95.50	$194.98	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $223.87	Facility		$77.62	$120.23	$223.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $354.81	Professional		$177.83	$251.19	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $239.88	Facility		$75.86	$123.03	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $851.14	Professional		$120.23	$223.87	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $177.83	Professional		$32.36	$64.57	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $398.11	Professional		$138.04	$239.88	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $630.96	Facility		$181.97	$181.97	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $851.14	Professional		$95.50	$213.80	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $223.87	Professional		$165.96	$165.96	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $398.11	Professional		$169.82	$257.04	$398.11
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 $97.72 / $147.91 / $275.42	Professional		$97.72	$147.91	$275.42